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s�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recef�ed ��- .— phone Contact for Permitting O�J �� _�c7� <br /> Owner's Name C-�/' GJd d Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �7 37 �,L��C�-- '�Y • LOT# l�v <br /> SUBDIVISION �d��.f�. PARC�L ID# ��pL� �vC���-O��—I�d� <br /> f2eJ�/'T (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � Q <br /> DESCRIPTION OF WORK � � �jL��1l ��J� �6�' J'�j,�„ <br /> BUILDING SIZE —� SQ FOOTAGE�� HEIGHT <br /> [�]BUILDING $ �, /�6 6d VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ P'�'���'EqMITSE <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION F�y3������ <br /> "�-�4-7$�, <br /> [�GAS Q ROOFING Q SPECIALTY � OTHER ,I_��� 2� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO j G J <br /> L�� -�-�-�/ <br /> BUILDER /��j� � ������ � COMPANY �/�' f /¢L� . .�L�c' <br /> SIGNATURE C��1�K-�- C�� ��L�/��"9'w L,J REGISTERED Y/ N FEE CURRE� Y!N <br /> Address d � ,�( G �� <br /> License# <br /> ELECTRICIAN 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 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,ConsUuction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Faalities 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 compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"'"PROPERTY SURVEY required for all NEW construction. <br /> ,���-,����� <br /> �+-�aaa����i a�.�a.aiyyiLl IJ.4L11 I L 1 1 1 <br /> Directions. <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement Is required. (A/C upgrades over E7500) <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(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />