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�,�-��u-uuza �ity of Zephyrhills Permit Applic�tion Fax-813-780-0021 <br /> Building Department <br /> Date Rec�ived ,� � f7�, <br /> y� y'- � � Phone Contact for Permittin -/ � / �c� __ � ` <br /> Owner's Mame �- � �L,� T� ` /��? ��SS ����/c���• ,�,( pwner Phone Number r�l ' � J,�� <br /> Owner's Address o� ��'.S� ��i lC ,%�„r, , �+��� �s ,`�'u flp�er Phone Number � <br /> / <br /> Fee Simple Titleholder Name `.�� � E' Owner Phone Number <br /> Fee Simple Titleholder Address l c� L� E <br /> JOB ADDRESS ���Sr C� � '`� � � , �C' � � G c .�/�` /r�• LOT� �� <br /> SUBDIVISION PARCEL IO$ �� �'o�� • al/—(��H�-��C� -��/ � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED B NEW CONSTR 8 ADD/ALT �� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK .Z �{`� � � (� � (-2���� ; � / � �` �,J � � � <br /> BUILDING SIZE � SQ FOOTACsE�� HEIGHT �� <br /> �]BUILDING $�� ,�� .�_ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> .-� �� 6� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS [� ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> r <br /> BUILDER j� ��.._� ��'� t COMPANY �T�' �.ei ,L. � �_� ,�7�� C�.vJ�� �/ C_. <br /> SIGNATURE � REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address �� �/� l.-c�c� l.-C` �L' ��`! ����f � �"�� License# �? �j � ��lc.��� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# C <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 Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary FaGlities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Athach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mi�imum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster.Site Work Permit tor ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••""PROPERTY SURVEY required for all NEW consVuctton. <br /> Directfons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarfzed <br /> If over i2500,a Notice of Commencement is required. (AIC 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 if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />