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s�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received phone ontact for Permitting ��I �z- _ �� r`"� <br /> Owner's Name � ���(.J�- `n-� C��1/�Y��� Owner Phone Number 8��J ?�3— "f'Z-/'3 <br /> � <br /> Owner's Address L'J � �� �t 7C�N �,�� ZE��` � ��Owner Phone Number <br /> � ' <br /> Fee'Simple Titleholder Name Owner Phone Numbe� <br /> Fee Simple Titleholder Address I � <br /> � <br /> JOB ADDRESS ��� � ��� �I '�-I �������� �`C �� �L LOT# r 3 / <br /> SUBDIVISION �����T �'7 L £_ ._ PARCEL ID#_��_-'��'--"���k!�7�-���Q O •- .�3f v_ -- - -' — <br /> - �- (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/P,LT � SIGN � C] DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER / , <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME' 0 STEEL Q <br /> DESCRIPTIONOFWORK ��C���� ��'u�� �1/� �� ��`V ��/" ��� �'�� I'�����'��� <br /> BUILDING SIZE SQ FOOTAG �O O'�✓ HEIGHT �� <br /> OBUILDING $ �j_n�, V LUATION OF TOTAL CONSTRUCTION <br /> F� <br /> �ELECTRICAL $ A P SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> p� <br /> OPLUMBING $ , �`�a'` <br /> ' 'y�,V <br /> OMECHANICAL $ V LUATION OF MECHANICAL INSTALLATION . A J�l/ � <br /> +v�nJ���1' <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER � `� l� - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER - �f—wt�✓' �e��0� I � � COMPANY '�ILL '��,�Rle�1� �i��IEi�fE'��(1�1i7'!/�1,�. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y�/-N� ' - <br /> Address �'L-3� r��'�� �l!'E�, �E �' �;� License# �� � /�a� ��(�/� � <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 PI ns;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submi tal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans lus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after subm ttal date. Required onsite,Construction Plans,Stormwater Plans w%Sill Fence installed, <br />� Sanitary Facilities&'I dumpster.5ite 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 all EW 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 (A/C upgrades over$7500)• <br /> "' Agent(for the contractor)or Power of Attomey(for the o ner)would be someone with notarized letter from owner aufhorizing same <br /> OVER THE COUN7'ER PERMITTING � .(Front of Applicati n Only) <br /> Reroofs if shingles Sewers < � SeFvice Upgrades A!C Fehces(PIot/Survey/Footage) <br /> Driveways-Not over�Counfer if on public roadways..need ROW , ' <br />