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a�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Ueparlment <br /> Date Received 5 � �D(3 Phone Contact for Permitting 7�7 ZZ7 __ Z 3� � <br /> � rt o � <br /> �Et[EE�EFfEE�E�- L G <br /> Owner's Name NN� <br /> � ey� Owner Phone Number ?JJ z'� Zv�' - / sZ 3 <br /> OwnePs Address �D�T S ��� �� � �Wner Phone Number <br /> Fee Simpie Titleholder Name N�p Owner Phone Number <br /> Fee Simple Titleholder Address N/� <br /> JOB ADDRESS CO��� �b� `7�-�' LOT# �� <br /> SUBDIVISION �� �b� �t'�" PARCEL ID# b z^Z("" z�—����' �����D 3'LO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT �J SIGN � MUVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTI IER Y/} Oc� <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME O STEEL � OTI-IER <br /> DESCRIPTION OF WORK �v� `-'�OU'� ` � `���� S�S � C�.� -1`���m ���) -��- ��u V/�m�l� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � <br /> O BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E C <br /> O PLUMBING $ � P� <br /> � �i I I f V <br /> � MECHANICAL $ /^ / - -r VALUATION OF MECHANICAL INSTALLATION r` <br /> �/ � �l� <br /> � GAS � ROOFING 0 SPECIALTY � OTI-iER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO �/�� �� <br /> t{€l�EtEttE � <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEftED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL � ��,,,,��� � COMPANY \��1" � �"� � C� ✓t� <br /> SIGNATURE i �S�-�J�-'�1 REGISTEHED Y N FEE CURRENT Y/N <br /> Address 334a N � �� License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREPJT Y/N <br /> Address License# <br /> �€€� . - - �€ - • - - <br /> RESIDENTIAL Attach(2)Plo[Plans;(2)sets of Builciing Plans,(1)set of Energy Forms;R-O-W Permil for new conslruction, <br /> Minimum len(10)working days afier submittal dale. Required onsite,Construction Plans,Slormwater Plans wl Silt Fence installed, <br /> Sanilary Facilities&1 dumpster;Si(e Work Pennit for subdivisions/large projecls <br /> COMMERCIAL Altach(3)complele sets of Building Plans plus a Life SaFely Page,(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mirnmum len(10)working days after submitlal dale Required onsi[e,Construclion Plans,Stormwater Plans w/Si�t Fence inslalled, <br /> Sanilary 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 conslruclion. <br /> �€€�E€� � <br /> Directions: <br /> Fili out application completely <br /> Owner 8 Conlractor sign back of application,no[arized <br /> If over$250�,a Notice of Commencement is required. (AIC upgrades over$5000) <br /> " Agent(for ihe contractor)or Power of Attorney(for the owner)would he someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurveylFoolage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />