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si3aao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date,Received � �C ' <br /> Phone Contact for Permittin <br /> � TTTrIT. -- <br /> Owner's Name �� N � �� Owner Phone Number �l����— U���. <br /> Owner's Address t��1 ��� � C��C,I`L� Owner Phone Number � <br /> Fee Simpie Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS • � �t2' N �-`I�C � LOT# I �� <br /> SUBDIVISION !'1 1 � �A � PARCEL ID# (� J— �O—� �— I �������` ��-�a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIP710NOFWORK K� ��e1C M��' e �10✓rIe Ot�F � �O RpuF S STQM <br /> BUILDING SI2E ��(� 7 3 SQ FOOTAGE t Z�S HEIGHT � (� / <br /> �BUILDING $ r,�����v j� VALUATION OFTOTAL CONSTRUCTION <br /> lJ�/ � / <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. .[ � 1 � <br /> QPLUMBING $ '� � � <br /> � � � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO � /'� <br /> �c �� � <br /> �GAS � ROOFING Q SPECIALTY Q OTHER . i� _ / <br /> /�. �/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES N0�1 C v'� ��I <br /> BUILDER `✓�� �COMPANY II Y�'��'`� �HT��f'��I S�� SI��• <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3 4� CT �- � (7 �. 8 'ru 3y�'1i License# G��C OS$'U'�S <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 � <br /> License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 <br /> RESI DENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a LAe Safety Page;(1)set of Energy Fo�ms.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.Site 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 construction. <br /> D�rections.• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over y2500,a Notice of Commencement is required. (AIC upgrades over 57500) <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 />