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s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , �� Building Department <br /> Date Received � �j � ` � � <br /> O � Phone Contact for Permittin � � 9/ � — U � � <br /> Owner's Name � ��ni�S .� - r'l a'Pr Owner Phone Number O/....�-��.5'�/ � <br /> Owner's Address � ! � � S!� fi � ,'� Owner Phone Number [7�7-9/9— U� 97 <br /> Fee Simple Titleholder Name C IQ�t nc � �'iv'.�T� J rl Owner Phone Number � <br /> Fee Simple Titleholder Addresa 5 l 3J �ti.w��xCr Yi.d� �(,�VP G e h r ,�� ,� �L ,3 3 S �� <br /> JOB ADDRESS 5 l 3 5 J�lmrrt C Y1, ` � Yr cJ 2 C-P h r �� I LOT# 2 G� <br /> SUBDIVISION �Sc�mryi cr �/f r PARCEL ID# � Z ' Z -Z - D�D O - '" Z o o - c o c7o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR 8 ADD/ALT Q SIGN Q � DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER �, <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL <br /> DESCRIPTION OF WORK l NsTI4�G#��oN d� N�� ��� �/�, ��� �"e � � t t n�� 1,�!r�v' y g Q�e <br /> �- ,7 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �r � Z. ��L F' <br /> BUILDING $ � �� /--� VALUATION OF TOTAL CONSTRUCTION <br /> C1 <br /> DELECTRICAL � AMP SERVICE Q PROGRESS�N�i�Y Q � W.R.E.C. <br /> QPLUMBING a j� // /�I ' <br /> �l �� `!�[ J <br /> 4 / <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO � -' <br /> OGAS Q ROOFING Q SPECIALTY 0 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 /> � <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# C <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# C <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)worlcing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a�ife Safety Page;(1)set of Energy Forms.R-O-W F'ermit 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 required for all NEW construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiicaHon,notarized <br /> If over;2500,a Natice of Commencement is requlred. (AIC upgrades over;7500) <br /> " Agent(for the contractor)or Powe�of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIN(i (Front of ApplicaUon Only) <br /> Reroofs if shingies Sewers Service Upgrades A/G Fences(PIoUSurveyJFootage) <br /> Drfveways-Not over Counter if on public roadways..needs i�OW <br />