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a�3-�8o-ooao���,���I City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> t Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name L°✓l f� Owner Phone Number � � �$�v- 9 y7O <br /> Owners Address 37y � G�s� // Owner Phone Number � <br /> Fee Simple Titieholder Name 1 Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�y3 S erl �, W .� ..r �� 33SyZ LOT# � <br /> SUBDIVISION �L° qr? �/p /�/f�I' PARCEL ID� ��'Z(��Zl����_f��Q�Q��� <br /> ' (OBTNNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R 8 ADD/AL7 � SIGN Q Q DEMOLISH <br /> INSTALI REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1 fb� {vi �175 �m�'' ,S ;� � ' e �n..,f j� � <br /> BUILDING SI �--� gq FOOTAGE L ��D HEIGHT <br /> BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE PROGRESS GY <br /> 0 ,.,--�ita:E:C:-_ <br /> PLUMBING $ � <br /> o g � <br /> � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> l � <br /> � <br /> f <br /> OGAS � ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO .,__ <br /> BUILDER �/� � COMPANY � r Q�j ^ <br /> SIGNATURE y REGISTERED Y/ N FEE CURRE� , / <br /> Address Ucense# <br /> E�ECTRtCIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <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# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stortnwater 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 of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsfte,Construction Plans,Sto►mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permlt 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 consVuction. <br /> Directlons: <br /> Fili out application completely. <br /> Owner&Co�tractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgradas 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 PERMI7TING (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 />