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s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> , Date Received phone Contact for Permittin 7� �V � <br /> Owner's Name O I�r�� �V�(Pi'�"� Owner Phone Number Si 3- '/Sd-b'�3/ <br /> Owner's Address ��l 1 d���i 35`�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I � (/O '�� � 3��' LOT# I� <br /> SUBDIVISION �e Y) � �r'P�Z� PARCELID# 0�����"����`��0� ��`�� <br /> (OBTAINED FROM PROPERTY TAJ(NOTICE) <br /> WORK PROPOSED B NEW CON57R e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 'C �CG r � (JaY�t G �101� Si'Yl'Le. SI ZC <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � � <br /> �BUILDING $ m� ' VALUATION OF TOTAL CONSTRUCTION 5�� <br /> � �� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> I <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '` �, �� � (��'- 1 <br /> <—!'.�a.11 1( ,��.J�^'�� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � �o"`'� �L.� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO 11 f1/\ <br /> ��. '��/., <br /> v <br /> BUILDER N COMPANY ur-��� U f7M/1S�'1¢1 l'llL� <br /> SIGNATURE REGISTERED / N FEE CURREA Y/N <br /> Address �7a3-A ✓V�S S� .7 3�3 License# �UC ��� $3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I 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 /> Addrass License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plol Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnil for new construclion, <br /> Minimum len(10)working days after submittal dale. Required onsite,Construclion Plans.Stormwaler Plans w/Silt Fence inslalled, <br /> Sanitary Facilities&1 dumpsler;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Ariach(3)complete sets of Building Plans plus a Life Safety Page;(1)sel of Energy Forms.R-O-W Permii for new consVuction. <br /> Minimum ten(10)working days after submittal date. Requited onsite,Construction Plans,Stormwater Plans w/Silt Fe�ce installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engi�eered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,nolarized <br /> If over 52500,a Notice of Commencement Is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Ariomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicalion Only) <br /> Reroo(s if shingles Sewe�s Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />