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a��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Pertnittin � � L — � <br /> -TT 1TTTI-T <br /> Owner's Name �f � ✓ � �--f Owner Phone Number 1 C75 '� ' 1 � <br /> Owner's Address Z�i S �ph r� �► v� �CNN � Owner Phooe Number <br /> Fee Simple Tkleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address N � ` <br /> JOB ADDRESS — t -�/� • 1� �n�\�S l. 3 3 ��1 �oT* � <br /> SUBDIVISION {� C.-U L� 1 � PARCEL ID� — � 'Z I 'O O���U�""O Uj G � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��S� e���}�� 5� � � ,^O ,� • <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> QBUILDWG $ �>�� <br /> VALUATION OF TOTAL CONSTRUCTION ��0(}Q . <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHAN�CAL INSTALLATION `~ <br /> _.� �S <br /> � <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ✓ BUILDER : .i-y " -- ���., - � � U COMPANY C�UCt-S�-, S\ �S l��l ll.T1^/ <br /> SIGNATURE � ' ' �-' ` REGISTERED Y/ N FEE CURREN Y/N <br /> Address g 7 j (Q�' �. �ne `L'iS Q( �.. License# �S () ��.� <br /> ..? <br /> ''� ELECTRICIAN - ' ,' ��,.- � �� COMPANY L �j � � <br /> SIGNATURE �--' REGISTERED Y/ N FEE RREN Y/N <br /> Address License# ��J 20 V 'C..� <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> MECHANICAL � � COMPANY <br /> SIGNATURE REGIS7ERE0 Y/ N FEE CURREN Y!N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111 <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 atter submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit 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 Pertnit for new constructio�. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construc�ion Plans,Stortnwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> Directions: <br /> Fill out apptication completely. <br /> Owner&Contractor sign badc of appliption,notarized <br /> If over i2500,a Notice of Commencement Is requined. (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 /> Drlveways-Not over Counter'rf on public roadways..needs ROW <br />