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a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 6 �!� � �� __�y J � <br /> l� Phone Contact for Permittin <br /> Owner's Name ��-5� �'SS Cr�C� S J Owner Phone Number r� C' ��2 6 �=° � <br /> �'� , � 3 � <br /> Owner's Address �( �O.- � �� () Owner Phone Number <br /> Fee Simple Titleholder Name a�N `����� ���+� r �-L'�-_ Owner Phone Number <br /> Fee Simple TitleholderAddres5 �2 S- ��y„y��.�� �-{,��FkK9 �� C � �p �Cl C�C�f <br /> JOB ADDRESS 3 �� — �i 3 �'( � v A�L �C� LOT# C� <br /> SUBDIVISION �-� �„���1s ���� L/� PARCEL ID# � 5 2 S 2� u��Q �f��34 Q�}d � <br /> �OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK �/Z ELT� L ! ('� ��K�; , �Z C��c G'�"� j C'rtiC.���G,{' r.l�� <br /> • c <�._. <br /> BUILDING SIZE SQ FOOTAGE 1-2� HEIGHT <br /> �BUILDING $ )� 2 J� VALUATION OF TOTAL CONSTRUCTION <br /> t <br /> �ELECTRICAL $ � �,_� AMP SERVICE � PROGRESS ENERGY � W R.E.0 <br /> J f <br /> �PLUMBING $ /IJ ������ <br /> MECHANICAL � <br /> � $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS O ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER ,��� <br /> ��AIPANY 5�����~Cp �- . <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��`-�a` 1..��o n. � � G 3 License# � 5��na��� �� <br /> ELECTRICIAN //��// OMPANY S ` G � � �0 YZ- <br /> SIGNATURE G L!/ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � ��p J J �t '�� ti ( �3�� License# F� a v c�c�C} �� � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y!N <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 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 8 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 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 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(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 />