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e�3-�eo-oozo City of Zephyrhills Permit Apptication Fax-813-780-0021 <br /> Building Department <br /> Date Received � 1 � ` � <br /> Phone Contact for Permittln <br /> Owner's Name � �(,�, Owner Phone Number <br /> Owner's Address Owner Phone Number C � <br /> Fee Simple Titleholder Name Owner Phone Number C -� <br /> Fee Simple Titleholder Addr <br /> JOB ADDRESS �� � LOT# � <br /> SUBDIVISION � ! , PARCEL iD# 4` ° p��° - v <br /> (OBTAINED FROM PROPERTY 1fAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE 1� �3U SQ FOOTAGE HEIGHT "1� �� � <br /> �BUILDING $ O� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ <br /> ; P �a.�, i/ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION� G � / / <br /> � ��vc- � c�v <br /> QGAS ROOFING Q SPECIALTY � OTHER � CCrn� � <br /> FINISHED FLOOR ELEVATION FLOOD ZONE AREA QYES NO j��j � <br /> I <br /> BUILDER �/ `^ LL Cy�-„ <br /> C MPANY �'�1II I`O �C+ I l,t � lv •,n�J <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N C <br /> Address � '�i-(/_� �� f.. • r� ����se# I L.III�� �, ��� <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C -� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address , License# C <br /> � <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 Pl9ras,Stormwater Plans wf Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3),semplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forma,,R-O-W Permit for new�onstruction. <br /> Minimum ten(10)warking d�ys after submittal date. Required onsite,ConStruction PIanS;Stormwater Ptans w!Silt f=ence installed, <br /> Sanitary Facilities&1 d�ampster.Site Work Permit for all new projects.All commercial requirem2nts 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&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> "` Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles 9�ewers-'J-�`-�SetvtCL' ' g�a ea"�s�7�'-""'. e es(PIoUSurvey/Footage) - - . _ ,,.� <br /> - ,�: �.:.�� =��r�'� .:,��•;y.� .._._..__ _ .. ._ .._ ._.. _ <br /> Driveways-Not over�qucHer If-pe�pgub{kf��gclivajr�:4�e�,ds ���(y� ! %�'-� 3`s= .a��+•'?i. . a�f, <br /> � r� . . , • . 4- :1y,���44' � . � . �' . � _ '.R�.'t. , ` �a E <br /> t � r�; � , , , •�, �r • °$:��''a'' � <br /> � ..�,...,.._'.�.`.��:........ ,.....� ..�..,...�.r.....w, .:,a,n+ � .. «...�. ........,..-..r_ ,�� .. . :..�n� <br />