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e�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Build(ng Department <br /> Date Received Phone Contact for Permittin CJ�3 J� __ ���/ � <br /> Owner's Name f'��f'ti� 1��[ ��� C�"U�� °� 2-{��1_� �{�, pyrner Phone Number <br /> Owner's A�dress `/Q• l�V� t�0� ��� ��� �. 7 9 p�er Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address � <br /> J06ADDRESS 3��7�5 c���cEY rz�e ZU '[11��VW �L, �j3S`�- — LOT# � <br /> SUBDIVI510N PARCELID# ��`Z���Z+ '�JDD�'�OD�OD�' DOS� <br /> (O/�ED F�PROPERTY��nce)DEMOLISH <br /> WORK PROPOSED B NEW CONS7R 8 ADD/ALT � �SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �oN V m�NT ���� ��j SQ_ r c , � � �� N O N � t[�,�/►t. <br /> S�S�ZE ��- � 1�p f� /� ¢. <br /> SQ FOOTAGE �`� HEIGHT � f � <br /> QBUILDING $ }ry �'O� <br /> � a VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � I,tln�� 1����G""v�'L g <br /> � �'�tl! �� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �j� 5Q,���� <br /> V <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � �`',� <br /> �� ��5�-�'� <br /> FINISHED FLOOR ELEVATIONS (� <br /> FLOOD ZONE AREA QYES NO � <br /> BUILDER ��'.n�� � � (� � J COMPANY ��-2b� �175�V�� c71� <br /> SIGNATURE �-`�� � �����C `� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �Cl u� ��tt-� l.U��3,F'� � License# 1..,�����_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary FaclNties&1 dumpster;Site Work Permit for subdivisions/large projects <br /> CAMMERCIAL Attach(3)complste 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 8 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 constructlon. <br /> Directfons: <br /> Fili out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over t2500,a Notice of Commencement is requlred. (A/C upgrades over=7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be sameone 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(PIot/Survey/Footage) <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />