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s�s,-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> : <br /> Building Department <br /> Date Received �j ZD(�j Phone Contact for Permitting 7�� z Z y _ Z 3 S � <br /> Owner's Name 1�� �'to��� Owner Phone Number 8` � �7 6 -g�J��S <br /> Owner's Address ����� ��t%�-t�' Owner Phone Number <br /> Fee Simple Titleholder Name W Owner Phone Number <br /> Fee Simple Titleholder Address � �' <br /> JOB ADDRE3S �J ��{l� ���A' � 5 F� S 3 YyZ— LOT# � <br /> SUBDIVISION 0 � 1`\ , PARCEL ID# �b^��`i���2� -('jCi�'? -�I O <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q 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 ! rV� L-�J�f6u-'� �.¢,u,1 �,� - C,�i � f�lg-�j�i �j6 (�jC� ��f�L��/!�1 ? <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT �_—� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ' � .� � <br /> ' j I�� � �..;. <br /> �MECHANICAL i''$ 'i � VALUATION OF MECHANICAL INSTALLATIO�1,. ---• <br /> . _. � / � <br /> ... <br /> �___... ...._.�._._. _...r.�..._- C <br /> QGAS Q ROOFWGMQ SPECIALTY � OTHER � I � �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES O i� '��~+r. <br /> ���:- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address ' License# —1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL ^ COMPANY /)1QI`r 'd� ,/� � �� <br /> SIGNATURE L �f�S REGISTERED / N FEECURRE� Y N <br /> Address �J � � � � ��c /G <br /> License# -� <br /> ,�3"IIL� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Ploi Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construc6on, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wot1c Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life 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 Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> �����r���r�r�����r�� <br /> ��+ u++-��J1i�t i W 1 1 I 1 1 1 J.LLL!11J <br /> Directions. <br /> Fill out appllcation completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <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 Applicatio�Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />