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a�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> � � Date Received � �J / �G <br /> ! J! Phone Contact for Permittin �� ���� 1 <br /> Owners Name D�L�,�(1. 1 I � 'Z 1 S� � 9� <br /> Owner PAOne Number <br /> Owners Addresa � C�re �L°�.�T�' rJll Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Pee Simple Titleholder Address � <br /> JOB ADDRESS 37�000 l: l S '1lT LOT# a I 0 <br /> SUBDIVISION �� rlZO�`1 PARCELID#3� -�a�'D 7 — "o�� 0 <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK cJ"'e� �'�'T�-l� 11'�(1 <br /> BUILDING SIZE SQ FOOTAGE�/O� HEIGHT � <br /> BUILDING $' � p'O VALUATION OF TOTAI CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ `��� <br /> i// tL <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION "t ' � l <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> .�� . . . . . . . . . . . . . <br /> BUILDER � ��COMPANY � �b I�`J 1 CLl(�.nD(� � <br /> SIGNATURE I REGISTERED Y/ N FEE CURRE� Y/N <br /> Address y'� 8rP't5��(1 � Z�.� License# �5 7 7$a <br /> ELECTRICIAN � COMPANY / : Q ,/ie� —� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y J 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 CURREA Y/N <br /> �d�� License# �—� <br /> Illlllllllllllillllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Ariach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projecfs <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius 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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Sile 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 construdion. <br /> Directions:• <br /> Fill oul application completely. <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over 5�500) <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 />