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sis-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ,� - "� /� �/ <br /> Phone Contact for Permittin a(� <br /> OwnersName NN�.'F�.-l�`�l/-1�-�'-�' �3-�3 <br /> Owner Phone Number _8 � <br /> Owners Address �`_t( L%. W+��GI C�(3.G,('lp��'31Q <br /> Owner Phone Numbar <br /> � L• �' <br /> Fes Simple Titleholder Name Owner Phone Number <br /> Fee Simple 7itleholder Address <br /> JOBADDRESS 38a ll,('�'.I y I�t �I✓Cl • LOT# � <br /> SUBDIVISION 'CS `(� �� PARCEL ID# ay'�G�a�'�0��-Q(�/QQ� Q(�9� <br /> (OBTAINED FROM PROGERTY TAX NOTICE) <br /> WORK PROPOSED e NEW cONSrR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK J n s Q. � )�C� ���ST n (' <br /> BUILDING SIZE I� I SQ FOOTAGE � HEIGHT � <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �?,! 00 <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> �I `��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY <br /> Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> SIGNATURE �"� — �( COMPANY �'�'I� �y�STC Tl ('� �� <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address ���/��j,�/l/S Ki � i . Z I�/� /� �icense# ����7$01 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y(N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address <br /> License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGIS7ERED Y! N FEE CURREA Y/N <br /> Address <br /> License# <br /> IIIIIIIIi1111111111I11I11111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a LHe Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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 far all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> H over 52500,a Notice of Commencement is required. (A/C upgrades over i7500) <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 Sewers Service Upgrades A/C Fences(PIoUSurvey/FOatage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />