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.. 'S <br /> s��-�aaoozo City of Zephyrhills Permit Application F�-a�s-�ao-ooz� <br /> � � Building Department <br /> Date Received Phone Contact for Pertnittln 3 ��a-�.�a� <br /> Owner'sName �QaH flV1 OwnerPhoneNumber �)�-�317'��p.r] <br /> Owner's Address 3 O�SD � �'�� Owner Phone Number <br /> Fee Simple Titleholder Name l�/�' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � O I� f� LOT# � <br /> SUBDIVISION Z 1T PARCEL ID# ��'a�0' a�'�a�" 00 '� <br /> (OBTAINED FROIN PROPERiY TAX NOTIC� <br /> WORK PROPOSED e NSTALL�R e REP AL�T � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTiON OF WORK • : d�+�. �• � � <br /> BIIILDING SIZE 3Q FOOTAGE HEIGHT � <br /> QBUILDING S I�O D� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATIONOFMECHANICALINSTALLATION ?/ ` <br /> �` � , / <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �p ,v�`" <br /> �i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER ` COMPANY Q� � C� ' <br /> SI6NATURE REGISTERm Y/ N �cuwt n Y/N <br /> Address � V 7/ License# C.,U� � �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEF2ED Y/ N FEE CURREI� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N �Curtr�n Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new canstruction, <br /> Minimum ten(10)�wrking days after submittal date. Required onsite,Construction Plans,Stortnwater Plans wl Silt Fence installed, <br /> Sanitary Facilides&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Birilding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construction. <br /> Dfrections: <br /> Fll out application completety. , . <br /> Ouvner 8 CanVactor sign back of application,notarized <br /> If over 52500,a Notlee of Commencement is required. (/�lC.upgrades ovec 57500) • <br /> " Agent(far the canlractor)or Pov�er of Attamey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUN7ER PERMITTING (Front of ApplicaGon Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />