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a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin (�l� �O a — Sp� <br /> Owner's Name �r��RAI� ps/vZ /"�/'D '� a�G?/���' Owner Phone Number � �2- b 5 �f S <br /> Owner's Address ,J l?�� Tllr) 'T � Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 391pD� �rnE-T-� .�'7� �jL�.�} .� �y ,Q iLLS LOT# � <br /> SUBDIVISION m�Qg�� /"'"p��JL PARCEL ID# �� �� 2� aa�zQ 000cu� oacd <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �t-°n'ID `1�!� QQ� 7 � r�. �J S� �G' � , � <br /> �I/l,(.0 f ZLO'�i'� <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAI $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �/'/_ �� <br /> QMECHANICAL $ Ig �5 �a VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � 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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# r— <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL /j,�,',,- n )�J�,,�� � COMPANY /PS��aP.�3l11� � /C.�`�� <br /> SIGNATURE v"��r�- G�/���)� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 77�� ���1� � ItZ�/GG.S� License# G��b��g�`� <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 Pertnit 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&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng 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&1 dumpster.Site Work Permit for all new projects.All commercia�requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Dtrections: <br /> Fill out appHcation completely. <br /> Owner 8 Contractor sign back ot appNcation,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <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 if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />