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s�aaeaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building epartment <br /> i <br /> - Date Received <br /> Phone Contact for P rtnitting `� �� - � �°� <br /> /T,, ` p r r� ^/ <br /> Owners Name �1L� 5 /4('� �!V CO sj L l,� E��6Fya r P or��N ber O I�'/� ��� <br /> �N�j • <br /> Owners Address �2!� �� �� ��Z �' /' ��Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �Z�� �� S� Z' �L � 1 �IS —/• J S7 LOT# � <br /> SUBDIVISION PARCEL ID <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �-'� `A-� � ('�'.I� \ �i I T21 lT,d-C� ��/�.yJ(� <br /> BUILDING SI2E SQ FOOTAGE HEIGHT � <br /> �ING $ VALUATION OF OTAL CONSTRUCTION <br /> ELECTRICAL $ 1�,�^D p� AMP SERVICE 4`�ES � PROGRESS ENERGY Q W.R.E.C. <br /> �J <br /> QPLUMBING $ �l�� <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION .�`� `! <br /> �GAS Q ROOFING Q SPECIAL � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER •COMP NY • • • • • • • <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMP NY �2/ C/ C��TJZ�C ;�J�.' �2`��'���� <br /> SIGNATURE REGIST RED Y/ N EE CURREN Y/N <br /> Address I� �' 2�- S' � ��(7f�7 License# C..—JD Q <br /> PLUMBER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of ergy Fortns;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submiltal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subd visionsliarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Fortns.R-0.W Permit for new consWCtion. <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&7 dumpster,Site Work Permit for all n w projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWcUo . <br /> i <br /> Directions: <br /> Fill out applicaGon completely. <br /> Owner&Contractor sign back of application,notarized • <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrade over 37500) <br /> " Agent(for lhe conlractor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMIT'fING (Front of ApplicaUon Only) <br /> Reroofs if shingtes Sewers Senrice Upgrades A/C Fences(PI USurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />