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s�a-�ao-vo2o � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> Owner's Name ���(/Q'fp� � � /[ y JA�v�ce ,(j Owner Phone Number 7�?• �J� • „�j�� � <br /> Owner's Address ������� ���✓ � O /Q�C � Owner Phone Number 7�?' y7a��(0 7f/ <br /> Fee Simple Titteholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRE3S {� ,3�S���j�C/�S `L //S /�L�J� LOT# S � <br /> re .5 /�, <br /> SUBDIVISION S L(/ OA S PARCEL ID# b�' �'oZ�'O�ioC� •OO(,�• C! �OO <br /> (OBTAINED FROM PROPERTY TAX NOTtCE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE�F CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK � f (JC : �IC,y�l�G o(.7j�7�C'��� //�X��NFOT9 <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ <br /> �MECHANICAL $ / / �, VALUATION OF MECHANICAL INSTALLATION ��� �� <br /> Ce� ' L S��/ <br /> GAS / <br /> 0 Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL //`s COMPANY ��C� //e /fJ / A�t�//v ,zN C� <br /> SIGNATURE �` /�GW REGISTERED Y/ N FEE CURREN Y/N <br /> Address �G� � J IE. / �/ /� L License# C.:/7 �����s(� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIt111111111111111111111111t111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-p-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 Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a!ife S3fety Page;(1)set cf Energy Forrns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities 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 construction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a NoRice of Commencement is required. (AJC upgrades over s7500) <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 Application 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 />