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s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin 3SZ .._ �j � <br /> Owner's Name �C,.Ve!'" ��1 '2..�r' Owner Phone Number � l S - �,Z(, <br /> Owner's Address 3�3`-f�5 l7er Sh�1rLQt; �t ✓{�•QS Owner Phone Number C <br /> Fee Simpie Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ����S L7Cr S�'�►'t �f Z I� <«S��L 3`3 ^ LOT# �� <br /> SUBDIVISION W� W PARCEL ID# ����2-10-"Z�..Q�'Zp« OG G�U « �g 38 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED B NEw CONSTR e ADD/ALT [� SIGN Q (� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK �CraU'F I"t4� �- P�'�1^�^'�'� TI��'.,Lt��t%�t, <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION � � 1Z��,� <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY C] W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVAT�ONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER � COMPANY _� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER 5c'$� ��� COMPANY SCo�}" D�,GSL..�I�Q�ti ��-cxr'T-l� �.�-� <br /> SIGNATURE /61+���^- REGISTEREO Y/ N FEE CURRE� Y I N <br /> Add�ess License# C—�CJ s�`�7 5� <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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wor1c Permit for subdivisionsAarge 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 Engfneered Ptans. <br /> ""PROPERTY SURVEY requ(red for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,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 Apptication Only) <br /> Reroofs if shingles Sewers 9ervice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />