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s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � (� , <br /> /�k:fL'.D 1`�/�/�u-�4�/'GG,t� <br /> Date Received .� 5—�3 Phone Contact for Permitting O�� 7� — ����1 <br /> Owner'sName Gai l Theron OwnerPhoneNumber ��� �7� _��3,�' <br /> Owner's Address �t7� �Q�� � Owner Phone Number C � <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� � u--�`/OYe LOT# �N <br /> SUBDIVISION /�� �Y�� V� . PARCELID# �1 �' °� �—������v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR� ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � U <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORF� SC��� �W� �� � GUC� Cr/�- � <br /> BUILDING SIZE �� X 3�/ SQ FOOTAGE 7� HEIGHT ] <br /> BUILDING $ ��O f}� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � `���' <br /> ��►SCO�E�MIT SEF�/ICE <br /> �MECHANICAL �� VALUATION OF MECHANICAL INSTALLATION !�"(S. \ 14 <br /> �GAS 0 ROOFING Q SPECIALTY 0 OTHER ,Gj`�) � 47� <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES O � <br /> + ��� <br /> S GNATURE "�G=K'.�� � (���, � COMPANY �S� � �'���L- ��C -+ <br /> REGISTERED Y! N FEE CURRE� Y/N <br /> Address �/� � �f � ZQ � �/ License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# 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 CURRE� Y/N <br /> Address License# C � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new conskruction, <br /> Minimum ten(10)working days after submittal date. Required onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attacn(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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over E7500) <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 />