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8�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received •r �'� -� j � /> � � ' ��T� <br /> _ Phone Contact for Permittin ZS <br /> Owner's Name `�itl� t� $�/��''L f3 e�L�-t%f��}N A/ Owner Phone Number ��3 - ��� - `�o i ���n <br /> Owner's Address $�a S� yP� �.�, Z� }/ _/-{,"L LS �L 3 3 S`E-1 Owner Phone Number � !3 -7l 3 -o s y �i <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,��/'o�f-8 L� ,e D/�v,qL V �'I°µ�R!�f•�L G 5 G 3 3S i��, LOT# � d <br /> SUBDIVISION E/�Sy%Ci2� S PARCEL ID# ,� 3 a 6 3 r 0 / � o U � �° � G'� p u <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTAL� REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> UESCRIPTION OF WORK J� I✓C)L C EL E C. �C'eC L'�7 A C L c's S7vr TC N L � T . D(�0�, <br /> BUILDING SIZE "��i X�-� SQ FOOTAGE /S HEIGHT <br /> �BUILDING $ � <br /> 3 p 6 " VALUATION OF TOTAL CONSTRUCTION <br /> �]ELECTRICAL $ ��S,O � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �SO Ii/n P SQ p �� ( .n r . , �, <br /> QPLUMBING $ � �/� ��f,?° � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' / /��/�/ <br /> � � <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> Q� � L <br /> BUILDER ,, "" " � COMPANY �.����-- <br /> SIGNATURE � � . � REGISTERED Y/ N E CURRE� Y/N <br /> Address License# -� <br /> ELECTRICIAN �1 ` COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��+c. Zf G�-- Z 3�'t License# -� �j <br /> PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY `9`" <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y J 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 fo�new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constniction Plans.Stormwater Plans w!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&1 dumpster Site Work Permit for ail 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 /> Fili 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;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 PERMIT'TIN(3 (FFOr�t 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 />