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. 813-��o City of Zephyrhills Permit Application Fa�-���-�eo�z� <br /> , ' Buitding Department <br /> Date Received � <br /> Phone Contact for Permitting <br /> Owners Name C.' �� Owner Phone Number p�;J' 7 <br /> Oxmels Address � �, �iA� Owner Phone Namber <br /> Fee Simple Titlehdder Name / Owner Phorre Mumber <br /> Fee Simple Titleholder Addres� <br /> JOBADDRESS , LOT# � <br /> SUBDMSION L 'C PARCEL IDR Z - 'Z 'V <br /> (OBTAfNED FROM PROPER7YTA7f NOTICE) � <br /> WORK PROP09ED � NEW CONSfR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ��SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL �/ <br /> DESCRIPTION OF WORK � <br /> BUILDINt3 SIZE `l� K �1 SQ FOOTAGE�� HEIGHT � <br /> ��UILDING $ � VALUATION OF TOTAL CONSTRUCTION � .1�UD�^ <br /> (/� <br /> �ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> �UMBING $ /_ ?j�� <br /> `C <br /> �HANICAL $ VALUATION OF MECHANICAL INSTALIATION � <br /> ~ ' QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �I��`/// L��,�I���'�`„`— COMPNdY � C <br /> SIGNATURE (i�� REOISTERED N FEECURRE� /N <br /> A�,� Yl t ���# I D S <br /> ELECTRICIAN �.J�G///,1, C��G������� COMPANY "�l� <br /> SIGNATURE � VVb� REGISTERED I N FEECURRE� /N <br /> p�� License# <br /> pLUMBER ���AJy"�-(L C067PANY ' <br /> SIGNATURE REGI6TFRED FEECURRFI. N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTFRm Y N FEECURRE <br /> Add►ess License# <br /> OTHER �MP� <br /> $IGNA7URE ReGisraxEO Y/ N �cuaRen Y/N <br /> q�� License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIt1111111111111111t1111111111111111111101 <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnft for new consWdian, <br /> Minimum ten(10)working days aRer 3ubmittal date. Required onsite,Construdion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facildies&1 dumpster;Site Wotk PertnR for subdivisionsllarge projeds <br /> COMPAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Pege;(1)set of E�ergy Fortns.R-O-W Pertnit for new consWction. <br /> Minimum te�(10)worki�days afler submittal dffis. Required onsite,ConsWCtion Plans,Stortnwater Plahs w/Sitt Fence i�stalled, <br /> Sanitary Facilities 81 dumpster.SRe Work Permit for all rrew projects.All commercial requiremerrts must meet compliar�ce <br /> SIGN PERMIT Attadt(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far all NEW consWCtion. <br /> Dlrections: <br /> Fill out appliption completely. <br /> Owner&Contractor sign back of application,notar¢ed <br /> If over E�O,a Notice of Commencement is required. (A!C upgrades over s'15�) <br /> " AgeM(for the contrac[or)or Power of Attomey(for the owner)would be someone with rwtar¢ed letter from owner authorcdng same <br /> OVER THE COUNIER PERMITfING (Front of Application Onty) <br /> Reroofs'rf shingles Sewers Serviae Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveuvays-Not over CouMer if on public roadways..needs ROW <br />