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: a�saso-oozo Ciry of Zephyrhills Permit Application Fax-81&780-0021 <br /> - , Building D partment <br /> , � . <br /> �Date Received � n f nC1_G��� <br /> Phone Contact for P rmlttin �,tY-U <br /> -T-7-i-I-i�r G <br /> Owners Name S �" �+ l,l��� ��� Owner Phone Number �l3� 3�• <br /> Owner's Address �! �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS ��U�� Y• LOT# �� <br /> SUBDIVISION �j{�rvwN �C 1� 'pARCEL ID U • �Q• 21' O� � ' OUC�L'�' p <br /> (08TAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDlALT � 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 C � '==D'f— - - - D � � {L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � - <br /> QBUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ O�Q ��� <br /> OMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION �L` �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA �YES NO <br /> BUILDER COMP Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMP Y � <br /> SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER ,`�� COMP Y � S�r V�I.I I tA � i� �/��l.C�� O�/1 <br /> SIGNATURE � REGISTE ED Y/ N FEE U E� Y/N <br /> Address � S� a , �1 I License# lJ/i �2 <br /> MECHANICAL COMP Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMP Y <br /> SIGNATURE REGISTE ED Y! N FEECURREI. Y/N <br /> Address License# <br /> Illllllllllltlllllllllltltllllllltl IIIIIIIIIIIIIIIIIIIIII111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdi isionsAarge proJects <br /> COMMERCIAL Attach(3)compiete sets of Buiiding 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. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities 8 1 dumpster.Site Work Pertnit for all ne projects.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&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrade over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be so eone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMIT'f1NG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />