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a�s-�eo-oo2o City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Buflding Department <br /> Date Received ���'� � Phone Contact tor Permittin -- <br /> Owner's Name C/�{�L fi ( `� Owner Phone Number ��3"��`J��'1��� <br /> OwnePs Address 3� � �OX U t��� Owner Phone Number ��3 '�o��i" ��� � <br /> Fee Simple Titleholder Name G Pt Q L fi l 1�}cQc�A SUC.(1-JA� Owner Phone Number 8��" �o��"�2� <br /> Fee 3imple Titleholder Addresa 7 �G F�X�v^� ��4= 2�=pN`�RF-�Z.CCS rL � 335y I <br /> J06ADDRESS 3�1 Fox�u� �wc�: 2�PNY�2�-►-�c�� �'�, 33Sy+ LOTA� `�� <br /> SUBDIVISION S�c-�`1Z G A K PARCEL ID# J�- 7� -21-0120-OdC�,"X} -oy i G <br /> (OBTAtNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ZiJ � TO T I`L'' C�2 W Nc2J <br /> ' ' � <br /> BUILDING SIZE I!-�x J SQ FOOTAGE SO HEIGHT � <br /> QBUILDING � ��-±�n, VALUATION OF TOTAL CONSTRUCTION <br /> .xJ�J <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ �� `��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � 1 ��� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ''� � COMPANY nGM` Cl/`�n�C�� <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 /> Address License# -� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faclllties 8 1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COMMERCIA� Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties 8 1 dumpste�.Site Wo�lc 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 construcGon. <br /> Directlons: <br /> Fill out application campletely. <br /> Owner&Contracto�sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is requlred. (AIC upgrades 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 P�RMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Serv(ce Upgrades A/C Fences(PfoVSurvey/Footage) <br /> Driveways-Not over ICounler if on public roadways..needs ROW <br />