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ais-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contactfor Permittin <br /> 7— <br /> Owner's Name C j� D� � �r I�. �S Owner Phone Number �� — /p a- E'c�p <br /> Owner's Address 5335 � � Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Y/�� /��V �l E f� a� LOT# � <br /> SUBDIVISION PARCEL IDq <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSfR B ADDIALT 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 � STEEL Q <br /> DESCRIPTION OF WORK l I'�� /��..K1 ��� ���.', c1T �3�aI�F� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT S�I7 f <br /> �BUILDING $ r p SD� VALUATION OF TOTAL CONSTRUCTION <br /> 10 <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ / �. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C ' ` � �� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER /� /T�il� COMPANY /y/I�Ky�� F�CG �PrV%Cf,-f <br /> SIGNATURE C����� REGISTERED Y/ N FEE CURREN Y/N <br /> Address S 1 S al� �%��v� E.� C1 A/,�Gi License# � <br /> 329�r -� <br /> ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � —� <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEe cuRReN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License!F <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Woric Pertnit for subdivisions/large projects <br /> COM MERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERM�T Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> D�rections.• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />