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e��-�so-oo20 ; City of Zephyrhills Pe�mit Application Fa�$��-�so-ooz� <br /> � Building Department . <br /> Date Recsived � ,5 f Phone Contact for Permitting ��7 cS�s — '� i � q <br /> Owner's Name �.��/'v n�y �c��� Owner Phone Number � �L <br /> Owners Address c3�d`d� (,e � S �[' Owner Phone Numbar <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS � �O I G� � � i CLS LOT� '�G <br /> 9UBDIVISION W��}e.�'S � � � PARCEL.ID# . j�`a-�°�������U'QQ CS'd^U'��0 <br /> (OBTAINED FROM PROPER7Y TAX NOTtCE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN C] MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER 6� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER (Y� (-F ^I _ <br /> -i— <br /> DESCRIPTION OF WORK R2tAvret' 1 �ld� l�,V1.�v�' G.0 o � � �� i' ��w�.bt'�trQ. <br /> -- BUILDING 31ZE SQ FOOTAGE HEIGHT <br /> . Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �Z���c�o <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY a W.R.E.C. <br /> Q PLUMBING $ ` n�a <br /> � ` V <br /> � � r7 <br /> MECHANICAI $ � VALUATION OF MECHANICAL INSTALLATION <br /> � GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVAT�ONS � FLOOD ZONE AREA �YES �NO <br /> '1 <br /> � � v <br /> BUILDER COMPANY Cdv►1 r � � � �,DZC <br /> 31GNATURE �i REGISTERED Y/'N FEE CURRENT Y!N <br /> Address Z �� �v'��-� . ��. ��cG - r� �3�'�� License# �-���7 O <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Re�IS�Reo � Y/ N FEE CURRENT Y/N <br /> Address . License# <br /> PLUMBER COMPANY <br /> SIGNATURE REG►STERED Y/ N FEE CURRENT Y/N <br /> Addreas License# <br /> MECHANICAL COMPANY <br /> SIGNATURE ReGtsreReo Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER CQMPANY <br /> SIGNATURE REOISTERED Y/ N FEE CURREPIT 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instafled, <br /> Sanitary FaaMies&1 dumpster,Site Woric Permit 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 Permit for new construction. <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1�dumpster.Site Work Permit for all'new projects.AI�commeraal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of�ngineered Plans. <br /> ""'PROPERTY SURVEY requir+ed for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Cantractor sign badc of application,notarized <br /> If over;2500,a:Notice of Commencement is requirgd. (AIC upgrade.s over;5000) <br /> -•:�:�.:•,r.�r<s;;s,:::�:;.;r.<,,'�r,;i';�%° <br /> "* Agent(for the corrtradoc),o�Poyvef of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> z .. - <br /> OVER THE COUN7ER PERMITTING' (Front ot;Apphcanon Only) <br /> Reroofs..._, Se.wers, � '`'Sennbe Upgre.des ,, n „.,,_A/C,_,;.: :,Fences(PIoUSurvey/Footage) <br /> Driveways�Not over Counter if on public[oadways needs ROW,. '" <br /> .',;;::. `:.�.'� : . <br />