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', s��-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building epartment <br /> Date Received Phone Contact for P rmitting ��� 1 UZ - �Q V"I� <br /> Owner's Name �t S Owner Phone Number <br /> Owner's Address �� �� 5���t-t�.}'� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS ���-�C.� ��� �(� LOT# lP� ! <br /> SUBDIVISION PARCEL ID# e `�� w�Z�'" D�,�" � �Q�� �O�V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK ��1�A9 l��(=�� �2t) ����eC� <br /> BUILDING SIZE ��X �� SQ FOOTAGE HEIGHT 6 V f <br /> QBUILDING $5� .��� VALUATION OF T TAL CONSTRUCTION <br /> 1 <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> QPLUMBING $ �� I('{ <br /> QMECHANICAL $ VALUATION OF M CHANICAL INSTALLATION � <br /> �� <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA DYES NO <br /> BUILDER Q��S� COMPA � ✓VI1� l6 dJS-C�l�'�'(�h� � �r <br /> SIGNATURE REGISTER o Y/ N FEE CURRE� Y/N <br /> Address �� � 5�' S�^W -�ri (Z�'I. License# i�' � �J�����- <br /> ELECTRICIAN COMPA <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPAN <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPAN <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPAN <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 111111111111111111111111111111111111 111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ene gy 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 subdivis ons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety P ge;(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 all new rojects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *`*'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8�Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades o er$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be som one with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUS rvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />