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s�s-�so-oozo City of Zephyrhills Permit Appl!Cat1011..-..--..__.. _.___ Fax-813-780-0021 <br /> Buifding Departm�nt 4 <br /> Date Received .•� /a�/,3 Phone Contact for Per in �1� �3 - 7 7z� <br /> � <br /> i <br /> Owner's Name SR�it � �i'd Owner Phone Number �j oc-' aZ �"��7� <br /> Owner's Address V '7"t�c3cx �. o�7��65 Owner Phone Number � —1 <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address —1 <br /> JOB ADDRESS ���� l G (�`t , �� ,`j�`Gs � LOT# � <br /> SUBDIVISION �i 6 4 �- PARCEL ID# -3-���S o�I '�SA -O�"' jG 7r d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER �— <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��-I'CO O C-� 5/7� ��S �� (,�-/C r� /rI+B�4/ ��"�� v�d S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �_ ] <br /> UILDING $ / !CO VALUATION OF TOTAL CONSTRUCTION <br /> �QIJ <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � j��q9 <br /> / � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �,�/ <br /> GAS ROOFING SPECIAL � t�'`�` <br /> Q � Q N � 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# � � <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 /> Add�ess License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� License# � <br /> OTHER � `Nk�� COMPANY T/ ��P /`�fl�J.7 O � �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Addreas ��b �• ! l '`�S /'L 3� �d License# �c.co �y3�a <br /> RESIDENTIAL Attach(2)Piot 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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wor1c Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding 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 FaciliUes&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 construction. <br /> Directions: <br /> Fill out appiication completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AJC upgrades over a7500) <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 PERMIT7lNG (Front of Application Only) <br /> Reroofs if shingtes Sewers Servfce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />