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s�sa$o-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received .-Z Z�I�j phone Contact for Pertnitting 35� ��� __ Z� �Q <br /> I 1 � � 1 1 I f - 1 7 7 i I <br /> Owner's Name ���-�L-� `I O U N �, Owner Phone Number ��3 •�� ���jZ <br /> 5530 ZI -S i 2-t��- <br /> Owner's Address ZC�k�`1 L�t LI..S 3�.�t}-2 Owner Phone Number <br /> Fee Simple Titleholder Name U /�. Owner Phone Number <br /> Fee Simple Titleholde�Address <br /> S T <br /> JOB ADDRESS � Q J-� LL,S t.�Z LOT# A �9 <br /> SUBDIVISION `I lIV(�L11.iGcS ��j'!p pARCELID# �2 'c�o' 2.I'UO�. �1QO' 09�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> EMOU�� t.Ae� W w� <br /> DESCRIPTIONOFWORK �1t01�4•1 �t�r4,3P4�g �L;-, ,d.�p`j��� ���Lw�-� �,�N.���.�� <br /> �7 � ��►Z533.1 , <br /> BUILDING SIZE SQ FOOTAGE L��� HEIGHT - ;�-- <br /> OBUILDING $ VALUATIONOFTOT NSTRUCTION S��"�CJ�Oo <br /> L <br /> QELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> QPLUMBING $ � <br /> MECHANICAL ���� <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER �C� ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER �`COMPANY ��'� SCOT� U—G <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> T l, pp <br /> Address �j4(o p License# C�C-C-�3 Z S-7 QQ�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y 1 N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set uf 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 52500,a Notice of Commencement ls required. (A/C 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 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 />