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a�a-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � -- -- � phone Contact for Permittin 77(� ��0�` -- �� <br /> Owner's Name �/ �-�4� �! Owner Phone Number ��Q Q�f �•CXJ,(�- <br /> Owner's Address �3 Y3o Tdarm� � ur' Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 73v ������.L�A-Q �� � LOT# ��7 <br /> SUBDIVISION �/��-(-�" �Q�/�1� PARCEL ID# 'Zy°�'6`�� ��– �Q��– a�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> V110RK PROPOSED I X 1 NEW CONSTR e ADD/ALT �] SIGN Q � DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� X a� C ��-�-L �� GLyJ <br /> BUILDING SIZE ��- X a-�' � SQ FOOTAGE o�-�7� HEIGHT <br /> (�IBUILDING $/�- ,,,y� � VALUATION OF TOTAL CONSTRUCTION <br /> ��� l/(.(J <br /> �ELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �i/ 2G�'/� <br /> --�f � J/ <br /> OMECHANICAL $ VALUATION OF MECHANICAI INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO�#D ZONE AREA QYES NO <br /> �.�J <br /> BUILDER ' � COMPANY ���� <br /> SIGNATURE �� REGISTERED Y I N FEE CURRE� Y/N <br /> Address �� License# � <br /> ELECTRICIAN � COMPANY OCc�� � <br /> SIGNATURE � REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address D�Q License# � � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# <br /> OTHER � COMPANY <br /> SIGNATURE � REGISTERED Y! N FEE CURRE� Y!N <br /> Address License# r— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Requfred onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pem►it for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a l.ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes 8 1 dumpster.Site Work Permit for all new projects.All commercial reguirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Dfrectfons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commenceme�t is required. (A/C upgrades over s7500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />