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sis-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Re�eived ��7--f phone Contact for Permittin ?J So� ��� -- �q�'3 �j�'l <br /> Owner's Name r t�l�� M« � ��- Owner Phone Number 't3 ?$a 6�o r <br /> Owner's Address ��S� G0.�1 �l� Z2�n`��``����5 ��-- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa "��� <br /> JOB ADDRESS CO y�-3 lT�x `J�� I zE'1' `�� � S LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR e ADD/ALT � SIG, Q Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION '�.-- BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1n5-tu��a�lU� c� �"l,l►Mlu�a- C�10���� `� fJV'� vJ t'(�Wa <br /> BUILDING SIZE �g'S '�n Q FOOTAGE� HEIGHT �� � e I� <br /> �UILDING $ �a D� �� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ t� � AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> (� �,�;�(�r��' <br /> QPLUMBING $ <br /> (-�> 2 s�-fs �1�-�s <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /n `i �� fj,;�, ��c'G'�+'��L-- <br /> � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER C,� �[.�'"�-{„l�`�5�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO f��r `� <br /> >� / <br /> BUILDER ��� COMPANY s�� ��S�P <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas "10� S• �-C'd'nfll� cDo k51!t,�2 F- License# �S— ���v�l � <br /> ELECTRICIAN � � COMPANY � �1 C b� <br /> SIGNATURE ReGisreREo Y/ N FEE CURRE� Y/N <br /> Address �� 7. �'Vl�Y\ �( ��� FL License# £s — ������ <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 License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding 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,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivisions/large 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. Required onsite,Construction Plans,Stormwater 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 PERMIT Attach{2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. � <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement ia required. (AIC upgrades over ST500) <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 />