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8�s-�ao-ooza City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> Owner's Name �Z��� J�i1/-!U S�' Owner Phone Number <br /> Owner's Address ��-� �v�,,�T��;�`E ,�r� Owner Phone Number C <br /> Fee Slmple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Addresa � <br /> JOB ADDRESS G,,�=-� � ������'��I•Y� G�� ] LOT# C� <br /> SUBDIVISION Se L Uc'�. fj�'�S PARCEL ID# �-3 -,2 G -�� `�l�a "' ����G'�� -��1f�3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN [� 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE 3 � HEIGHT �� <br /> QBUILDING $ -� 3�� � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ���� <br /> OMECHANICAL a VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS [�'�ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <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 CURREP Y/N <br /> Address Ltcense# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C -� <br /> OTHER � �'�„_,_ COMPANY G"�'�J qj /��t�r'n/�= <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� J���X ,1,.5�,�� ✓✓,%�i�C C'r1 �c,,,. License# '��L���� r� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mfnimum ten(10)wo�icing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> C�MMERCIAL 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 Faciflties 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 requfred for all NEW consVucNon. <br /> Directlons: <br /> Filt out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement(s requlred. (A/C upgradea 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 Appllcation 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 />