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8�3-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> Owner's kame � ,,,� -�-� ;� � �- �v�T Owner Phone Number ���`7��.2- `f 3�� <br /> Owners Address �>�� ` � � = Ve �� , � IS L 3"_Sr.��p�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r l/ - l— � v�l'I r II S f- 3�.3 S�4�- <br /> LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FO PROPERTY T�TicE)DEMOLISH <br /> NMORK PROPOSED B NEW CONSTR ADD/AL7 � SIGN <br /> INSTAIL 8 REPAIR <br /> IPROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK �e f-�T j v�• ���; 1 C'S <br /> BUILDING SIZE —� 3Q FOOTAGE� HEIGHT <br /> �BUILDING <br /> $ � �}(��? VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ <br /> ME ' ` K-� <br /> Q CHANICAL $ VALUATION OF MECHANICAL INSTALLATION l nSy��� <br /> f � ` <br /> OGAS Q ROOFING Q SPECIALTY OTHER l� �� <br /> �► �(�. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA � ( <br /> QYES NO J,� �(� <br /> �1 1� <br /> BUILDER � COMPANY `��LiJYI�.�-- <br /> SIGNATURE � �LZ�- � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— —� <br /> ELECTRiC1AN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address <br /> 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,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Bwiding 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. Requi�ed 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 construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over;7500) <br /> "' Agent(for the contractor)or Power of Attomey(for the ovmer)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 yFences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />