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a�s-�8o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �-a,[.(,�� p'�3 �3 - 7�o�-U <br /> Phone Contact for Permittin <br /> Owner's Name i��� ��� tf T Owner Phone Number �� � �p�� �6 �� <br /> Owner's Address �7��� J� U G Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �O ,vG�u��v�► /�'1�'�-� LOT# C� <br /> SUBDIVISION �/''� `-�/6'Z(�I � PARCEL ID# 3�O�-���''"�Q�w��`—�30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �— <br /> TYPE OF CON3TRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK 0� � tt/' f� � ����� ��� �pQ��a <br /> BUILDING SIZE 3Q FOOTAGE I�O HEIGHT �] <br /> OBUILDING $ ��oQ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �/� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� 1 � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE _ RECIs�Re� Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL �,OMPANY <br /> SIGNATURE �►�ISTERED Y/ N FEE CURRE� Y/N <br /> Address �� License# � <br /> OTHER �����%y COMPANY /�� ^�(./Orr��i ��*�'L' <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7 r � / .� 33S License# ��-CD�g37d <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGfltfes 8 1 dumpster;Site Work Permit for subdivisionsAarge 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. Requ(red 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 compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""'PROPERTY SURVEY required for all NEW construcdon. <br /> Directfons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaHon,notarized <br /> If over;2500,a Notice of Commencement is required. (A/C upgrades over 57500) <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 ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />