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a�saeaoozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received g 7' � aa a - �� <br /> Phone Cantact for Pertnittin <br /> ' Ownefs Name � �' QX �, Owner Phone Number C� � Z� p�.> <br /> Owners Address LJ ��� � � O Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tideholder Address <br /> JOBADDRESS J p L n, � -` �E''-�`. LOT# � <br /> SUBDIVISION �� PARCELID#�� �� �V '/p�0� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR�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 � STEEL Q <br /> DESCRIPl10N OF WORK I, � C � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �ECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> r <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> G i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY r <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � ' i�.s COMPANY lj Zj �C <br /> SIGNATURE � ��� REGISTERED Y N / FEE CURRE� Y/N <br /> - <br /> Address � License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N -FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllll�llllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new consWCtion, <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 Pertnit for subdivisionsllarge 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 construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Wor1c Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROP�RTY SURVEY required for all NEW consWdion. <br /> �—'--'--�7 LL��• <br /> Directions: <br /> Fill out application completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conVador)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (Front of Appiication Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />