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a�a-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received` ��2 f I�l Phone Contact for Permittin / �� — �3 <br /> Owner's Name r er�z/t �. 4 Owner Phone Number S�JS"��3�zS�`� <br /> Owner's Address 6�3,3 /���JXee7` Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O d 33 ��/ � s�c�� LOT# G� <br /> SUBDIVISION /u�l� /T��� PARCEL ID# �Z�6 2/—O/�--p�— P�t/3a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPUSED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER ��5� .�.`r �-S✓`t <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � O C� C � r' I �, �`=L� %3SZ/. 6 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> 63 g�` <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r�` � <br /> ��� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � c� COMPANY �C���'! ��5�//�� <br /> SIGNATUFtE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � 7/X/�•r�cadi�G a� �i�arz..�ei-�.�3 �Z License# �aC/���G� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 /> -- --~-�-----blinimum-ten-(10)working-daysafter-submittaldate.-Requir2d-onsite,-Car�truc:ion-Pfa�s,-StormwaterPlans-rl/-Silt-Fe�ce-instaNed,---= <br /> Sanitary Facilities 81 dumpste�;Site Work Permit for subdiv(sionsflarge 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)working days after submittal date. Requfred 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�II NEW construction. <br /> Directions: <br /> Fill out applicaGon completely. <br /> Owner&Contractor sign back of application,notarized . <br /> If over a2500,a Notice of Commencement is required. (A!C upgrades over�7500) ' <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 PERMITTIPIG (Front of Application Oniy) - <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> s-Not over Counter if on public roadways..needs ROW <br />