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O 13-/OU-UIILU c;ity ot Zephyrhills Permit Application Faz-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitti� <br /> Owner's Name J�rh,�.� �Y�, Owner Phone Number <br /> OwnePs Address Owner Phone Number [ <br /> Fee Simple Titleholder Name Owner Phone Number r— � <br /> Fee 3lmple Titleholder Address <br /> JOB ADDRESS / Q �7 /'1 v Z ] LOT# � <br /> SUBDIVISION PARCEL ID� <br /> (�BTAINED FROM PROPERTY TAl(NOTICE) <br /> 1NORK PROP03ED e NEW CONSTR 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR O COMM �� OTHER r�, , v�:,.. <br /> 7'YPE OF CONSTRUCTION [� BLOCK [� FRAME [—_] STEEL Q <br /> DESCRIPTION OF 1NORK G I�I wn— r^' �-/� IG r �y-�.r S ��4�.' v•..,_ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> QBUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBING $ �� <br /> �U <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY [—� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES N() <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 <br /> L(cense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 L✓�15� T� ��z9J�' .�P/� <br /> 81GNATURE L,�L�'�( /�Q�GC��� REGISTERED Y/ N FEE CURREr Y/N <br /> Address �'C��f �Arh Sc�ti�q v�2, SP�^ k��.L( 1��. license# �y`7 <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)working days aRer submittal date. Required onsite,Construction Plans,StoRnwater Plans wl Silt Fence installed, <br /> Sanitary Facflitles�1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL 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 aiter submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt 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 consUuctlon. <br /> Directions: <br /> Fill aut applicatfon completely. <br /> Owner&Contractar sign badc of application,notarized <br /> If over 52500,a Notice of Commencement ia requtred. (A/C upgradea over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be sameone w(th notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMiTTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PfoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />