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a's-�tlauul° City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ,_2 � 2 <br /> `� _ Phone Contact fo�Permittin �/ � __ � <br /> Owner's Name . ` � <br /> Owner Phone Number <br /> Owner's Addresa !3� yv�„���a,�b <br /> 61�� Ow�er Phone Number <br /> Fee Slmple Titleholder Name <br /> Owner Phone Number <br /> Fee Sirr�ple Titleholder Addrosa <br /> JOB ADDRESS 3�o�/ �J' �i(„„d LV �� <br /> .' r - 04 �oT� <br /> SUBDIVISION PARCEL ID�I� � - - <br /> -0000 - aoroo - 6 <br /> 1MORK PROPOSED e (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> NEW CONSTR ADD/ALT C� SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK � � �S-/ �� <br /> O.H. wt SI b•ru <br /> BUILDING SIZE SQ FOOTAGE C� � <br /> HEIGHT <br /> QBUILDING a <br /> �yBS(rD VALUATION OF TOTAL CONSTRUCTION � <br /> [�]ELECTRICAL a AMP SERVICE <br /> Q PROGRESS ENERGY [� W.R.E.0 <br /> OPLUMBING a <br /> (�✓��� <br /> OMECHANICAL a VALUATION OF MECHANICAL IN � <br /> STAIUTION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURREP Y/N <br /> Address � <br /> License# <br /> MECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> Llcense# �— <br /> OTHER �bMPANY G Q s j(�,.JJ S' �, <br /> 31GRIATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address j .3 (�3 g` License# E � <br /> � G/� a03 �70 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&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-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requ(red onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for atl new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out applicaBon completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Nottce of Commencement fa required. (A/C upgrades over 57500) <br />♦• � .. ..�Hy�nwy•...:+� <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someon�witti notarize�e r f�o��owner <br /> OVER THE COUNTER PERMITTING (Front of Applfcation Only) ' '' " �� �� "���A9 same <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvAy/Footage) �.","�"` "� " �..�,'* � <br /> Driveways-Not over Counter if on public roadways..needs ROW . . �',•�° � ` '•�'�"R•��,y:��� <br /> ��� . � ., ,..- , . . ., , �"' ' - r . . :a vw*�,°^,�,'•�' <br /> � <br /> \ .. a . ' `• ' , '�� - <br /> °� ... y r. , .. �• ��"� • �' . . F._ - <br /> �, • r •t ,. '' .`, • �'.. . , .., <br /> - - -...,j.__ L•� ` "'1i�''�' ' ^ <br />