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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � • Building Department <br /> Date Received '� �`�- I Phone Contact for Permittin �l � s�b _ � � � <br /> � <br /> Owner's Name �,rl ni �r S� Owner Phone Number <br /> Owner's Address ��V�U LQ�'^ t � h �•��.f Owner Pho�e Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 (pO r e Y� • ' L 3 3Sy� LOT# � <br /> SUBDIVISION �r(�r� t-t0r'lZOI� PARCEL ID# 3� -a Jr' 2,.� � Q()�jQ ' 00 OOF� - �'31 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED e NEW CONSTR 8 ADD/ALT � 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 /> DESCRIPTIONOFWORK �C(ZOP/T "� �j{1i� '{,,,5 �yS . `jftF �ir'chwoa� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �—� <br /> Q BUtLDING $ VALUATION OF TOTAL CONSTRUCTION � 3 6 ��.O O <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E,C <br /> �PLUMBING $ /,,,_'� �� l/� <br /> t� <br /> QMECHANICAL $ VALUATION OF MECHANICAL tNSTALLATION � / r)� / <br /> � V <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER SC�� II�'��~� --V��/ COMPANY `��# U�G�C.L_W�pr� 'Z.(/G�r� <br /> SIGNATURE REGISTERED / N FEE CURREA Y/N <br /> Address G 1�G`�-�185 SCc.•�K�/l c� F� `'S 3 SZ-L License# G C�Q���1�1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REG�STERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y I 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,Construction Plans,Stormwater Ptans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivlsions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilittes&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 requ(red for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is requlred. (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 App�cation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> , <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />