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a�aaeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date�Received Phone Contact for Permitting — <br /> Owner's Name ��Y'I�Q 'i-'f� '�� Owner Phone Number <br /> Oavner's Address Owner Phone Number <br /> Fee Stmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Q 5 2� �r� ��� 1�1 LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE), <br /> MloRK PROPOSED e New coNS7a B ADD/ALT � SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �u��vl o�� � (�-�1� S `-��(/1 �fl Lt�C�-�(�. � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ � ,��i VALUATION OF TOTAL CONSTRUCTION <br /> vUU <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � I �L�y� <br /> V <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> e�„uc L �� �'2"� <br /> QGAS Q ROOFING Q SPECIALTY Q OTNER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> S` <br /> �UILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAId �f��r�� �(���G COMPANY <br /> SIGNATURE ���� REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr�ss License# <br /> PLUMBER �,�/� c �` C,OMPANY t <br /> SIGfVATURE �"' ( J ���� L REGISTERED Y/ FEE CURRE� Y/N <br /> Address License# <br /> MECHAMICAL ��r �(�� � l.' e COMPANY � ' <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� /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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> CORAMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety.Page;(1)set of Energy Forms.R-O-W Permit for new constructfon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 construction. <br /> Direct(ons: - . <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A1C upgrades over aT500) <br /> •° Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same. <br /> OVER THE COUNTER PERMITTING (Frant of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(Plot/Survey/Footage) <br /> Driveways-Not over ounter if on public roadways..needs RQVy� � � ��'Y�;��-�� � <br /> �PS'C��,;���'�=(L `{�t�� `�:�� �+y ;�-���--� �1� <br /> , . � � a�"-�t �,� ��'��'�-- <br /> �,��� ���J �,�,:.�y.. l�� �j`:�y'��C l�-►�'� 1 t,�t�7`� <br /> � � � � �� ���� , � ���j���-� ��� <br /> � � � r ���i�,�.� cr� �.� �l� <br />