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a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received <br /> Phone Contact for Permittin Yi? 1 _ yrJ?� <br /> Owner's Name �j/"i' i' ' C Owner Phooe Number /3 - 7 7 <br /> Owner's Address 3�7�.3 /��a.�ddiCl� lUO Owner Phone Number � <br /> Fee Simple Titleholder Name � � Owner Phone Numbe► C <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS c3�7/� /�ity��>pyp� ze �`j�/� LOT# 6-U <br /> SUBDIVISION !G 4JOt7Cl �S 14'S PARCEL ID# �c3'"-26`-?/- G>/y0 -odvov -O,�O � <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 !11U6 �� 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 _���'�(� �/�q c �jp� �L -,� /�S�/. � / <br /> BUILDING SIZE � SQ FOOTAGE C� HEIGHT <br /> QBUILDING $/D °d VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> DELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ,�.�3 �� � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BWLDER ��� �COMPANY rL°Gi,�itj,V f�-�l- s�/1r/i Ce <br /> SIGNATURE REGISTERED ,X/ N FEE CURRE� /nJ <br /> Address ,� /�j�i� .8/�C/tcv�.n�t�-q .�376 License# � ��,�-�j/6'3 <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# �— —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <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 after submittal date. Required onsite,ConstrucGon Plans, Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdiv(sions/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 /> Directions: <br /> Fill out application completety. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> "` Agent(for the contractor)or Power of Attomey(for the owner)wouid 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />