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s�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received - Phone Contact for Permittin /� � p�- _ ��� <br /> Owner's Name Q(�P'GhCG me hGC� Owner Phone Number <br /> Ownera Address .3 O�p .�/y� Z/�j�( Owner Phone Number �--� <br /> Fee Simple Titleholder Name �� <br /> Owner Phone Number <br /> Fee Simple TiNeholder Address � <br /> JOB ADDRESS (p SS A H� �() LOT S [�S� <br /> SUBDIVISION � PARCELID# 3��as,ai-o�8o-aoo�- 358U <br /> (OBTAINED FROM GROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSfR ADD/ALT Q SIGN � � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROP09ED USE Q SFR Q COMM Q OTHER -� <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q �� <br /> DESCRIPTION OF WORK �e� � S � s� B l <br /> BUILDIN6 SIZE S�FOOTAGE �d D HEIGHT � <br /> BUILDING $�`D�,t� VALUATION OF TOTAL CONSTRUCTION <br /> O�� <br /> ELECTRICAL $�DO AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. ) n <br /> �PLUMBING $ � / /'��L/��///!/� <br /> / � �.,�/ ��'l r/ /�,r�, ��--.,r <br /> �,��- �.� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� n/ L��f� <br /> � J �Q G A S � R O O F I N G Q S P E C I A L N � O T H E R ;� � <br /> FINISHEDFLOORELEVATIONS FLOODZONEAREA QYES NO //f/' ��� �� ��SZS/ <br /> �./ ✓� <br /> BUILDER ����,, �„ � OMPANY �/ L-ONSrJ?LtC,7j,p� � <br /> SIGNATURE ��� REGISTERED Y/ N FEE CURREA Y/N <br /> Address 7�� /2/S . � . Z � � License# L'�w5 �7 i7�� <br /> ELECTRICIAN OMPANY moc}Gr ���L' . <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Llrb(f �'� �✓/ License# /�DOU��(s_J <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N � <br /> Address License# -� <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERE� Y/ N FEE CURREA Y/N -J <br /> Address � <br /> License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commerciat requirements must meet compiiance <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 3 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over f7500) <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 PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways.needs ROW <br />