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s�s-�8o-oo2c City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �/a�'�� <br /> �7 �� C�/� <br /> Date Received S"� �G, �,� g f j 7�G � ZZ Z( <br /> Phone Contact for Permittin <br /> Owner's Name Owner Phone Number O�3 �I lr/� '�yO'�f <br /> Owner'sAddress S Z h� �i3 G�a ,��� <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS COZO� ? ��t �/II t 2 ^�i Z LOT# �� <br /> �J <br /> SUBDIVISION , PARCEL ID# OZ 'ZG 'Z/ '� / �QUZGU - a�3a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED U5E SFR COMM �� OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � '� 3o yta,� s�j� r <br /> BUILDI IZE � SQ FOOTAGE�� HEIGHT <br /> UILDING $ �i7r/� O VALUATION OF TOTAL CONSTRUCTION �Q'��4 C <br /> v�v, � <br /> ELECTRICAL $ AMP SERVICE ,�` � PR GRESS NERGY � �W,R.E.�u� <br /> ��,��� � ,� <br /> �PLUMBING $ � �1 j� G ��� ^��� /�� ✓,` � <br /> �J �► �r �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL IN �ON <br /> � �--��7�-��Ss <br /> [�GAS Q ROOFING [� SPECIALTY � OTHER C�-2 Por-E- ��`-- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ^ � 7 �� COMPANY h H <br /> SIGNATURE REGISTERED Y/ N FE CURRE� Y!N <br /> Address S^ O(�, �Yin � �,.� � License# C� /3 Z(,9/ g <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE _ REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE _ REGISTERED Y J 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 FoRns;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 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 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 construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />