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a��-�eaoozo City of Zephyrhills Permit Application F:3x-813-780-0021 <br /> , Building Department <br /> i /' �� <br /> Date Received .. phone Contact for Permittlng � l� - lL��7 <br /> r77-�-r 7 �-7 p - 7T <br /> Owners Name �u' / � ( �'11� Owner Phone Number � � � `'� <br /> Owner's Address � L� �. ��aY�`� �� Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � ���l � � � LOT# � <br /> SUBDIVISION `L�� PARCELIDN J���'-J �'��IJIV y �V�✓���v <br /> �oerar�o Fxor areorErrrr rax►ance� <br /> WORK PROPOSED e NEw coNS7R 8 ADD/ALT � SIGN Q Q OEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER -� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK l I( U�f'�X SC,1 � � <br /> BUILDING SIZE �� SQ FOOTAGE I�1c'y�' HEIGHT �� <br /> �BUILDING $ •� �' VALUATION OF TOTAL CONSTRUCTION���i `'f��f�l�-'`/ ��L� �r � � ��� <br /> ��- <br /> �ELECTRICAL $ � r�/1T� AMPSERVICE 1�L� � PROGRESSENERGY �� W.R.E.C. <br /> uVli 1 „{� , <br /> �IPLUMBING $ Z , J ^-� �Y���� <br /> �.y_� �, {�,x.�� <br /> I�IMECHANICAL S /� VALUATI�N�F MECHANICAL INSTALLATIO � �C1� <br /> ��.� `J � <br /> QGAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATION FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �I G� DaC c1��� � <br /> SIGNATURE REGISTERED / N FEfi URRE� Y/N <br /> Address .L `✓� �"�� ��t � � License# r-� <br /> ELECTRICIAN ��I� /����/� ) R OMP RED �,I i��� FeE CURRE� Y!N � <br /> SIGNATURE (, � v <br /> Address �� 1�-l(;�� License# �C� ,��/�' O� <br /> PLUMBER COMPANY (/�G� �I.�C �U�S � <br /> SIGNATURE REGISTERED / N FEE CU en Y/N <br /> Address � Q , � License# �-� <br /> MECHANICAL � I � 11/��r ROMre Eo ��I N�� �FeeCURRE� Y!N � <br /> SIGNATURE '1, LC, <br /> Address 1 ��t-V� i License# YI(�(J����� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster;Sile Wor1c Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete se[s of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans wJ Silt Fence installed, <br /> Sanitary Facililies&1 dumpster Site Work Pertnit for all new projects.All commercial 2quirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directfons:• <br /> Fili out application completely <br /> OHmer&Contractor sign back of application,ratarized <br /> If over:2500,a Notice of Commencement is required. (A/C upgredes over 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from o�mer authorizing same <br /> OVER THE COUNTER PERMITTING (front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A!C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />