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a�s;�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Dat@ RBCelved .- �i3r 4+l � � -_ ��� <br /> Phone Contact for Permitting �� <br /> �7 1 T-1 I 1 f - - -ITIJf-1 <br /> Owner's Name JLC:f N t��� �`l. �-Q�N�ls Owner Phone Number <br /> Owner's Address J�3� ��1..L 8 L..V� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �C''�j 1 C��}L.�, (�V LOT# C� <br /> SUBDIVISION PARCEL ID# � � ' 2�'� Z l '- (7��, �•-- l I I(��"17C�` <br /> (OBTAINED FROM PROPERTY TAX NOTICE) �-- � 1 <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR L��,r�j ���,��c <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK INS�141.�.�UP Q A� E iSTINI. LQhr i/0�-TRt1t' (3JRL w}Q �L14fLM �1J 8US1�1C SS <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � -^1 � AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> ( <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ✓`�� <br /> �� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# -� <br /> ELECT ICIAN � COMPANY ADr LL-�. <br /> SIGNAT ' ERED Y/ N FEE CURREN Y/N <br /> Address 5'�"J1 '�1 W/}7�� ��r STr �Q(�1.� License# EF2oQa �o��y <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Construction Plans,Stormwater Plans w1 Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work 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 /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />