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�` °��-�°�-���u C:ity of Zephyrhills Permit Application Fax-813-780-0021 <br />, Buiiding Department <br /> pate Received <br /> Phone Contact tor Permittin �l� rf�� __ �� ',� <br /> Owner's Mame �G�-�G/''� 0 LL U�✓ U / Owmer Phone Mumber <br /> Owner'sAddress �8�/�/ �� S//J � �(�� OumerPhone tdumber <br /> Fee Simple Titleholder Mame Owner Phone fdumber <br /> Fee 5lmple Tttleholder Address <br /> JOB ADDRESS LOT# C� <br /> SUBDINISIOfd —� PARCEL ID# �02 -'��a �/-d�(0 � O a p o U �- /a o 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOREf PROPOSED NEW CONST4t��c—� � SIGN [� Q DEMOLISH <br /> INSTALL <�� __ IR <br /> �ROPOSED USE � SFR Q COMM Q OTHER <br /> 7VPE OF COMSTRUC710M Q BLOCK Q FRAME � STEEL Q <br /> pESCFtIPTIOfd OF blIORK �o L !1�/ !�� � j�C F+Fi/✓Gy� 2 � <br /> �7 / � ( <br /> BUILDIidG SIZE �Q FOOTAGE O� HEIGHT <br /> �BUILDIIVG $ VALUATION OF TOTAL CONSTRUCTION <br /> �O�(>U <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ Cj� i�4)� <br /> �f' � / <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER �\2� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> OUIL.DER /'/ � COMPRldY / � C�J �.c�iNG(-.� i� Qi,/Ca <br /> � SIGId/1TURE W REGISTERED � / N FEE CURRE� Y N <br /> Address �ai� f'.�.(0/ai �P% �� �%�j License# <br /> ELECYRICIAM COMPANY <br /> SIGtdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COAAPAtdY <br /> SIGt�ATUEtE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAfdICAL COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> llddress License# <br /> OTFIER COMPANY <br /> SIGMe4TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> dlddress License# <br /> RESIDERITIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 Facllitles 81 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COAAMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submi�tal date. Required onsite,Construction�lans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br />- - =�lG�PERMIIT-�Afiach-(2)se4s-of�Enc�ineered Plsns-- - - —�--`�-"- '- ----- --�� ` <br /> '"'"PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over 52500,a fdotice of Commencement is requlred. (AIC upgrades over�7500) <br /> "° Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authortzing same <br /> O!/ER THE COUNTER PERMI7TING (Front of AppllcaUon 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 />