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e��-�ea-0ozo City of Zephyrhills Permit Application F����-�eo�z� ,_ <br /> Building Department <br /> ` Date Received — � �r <br /> � Phone Contad for Permitting � — <br /> Owner's Name � Owner Phone Number <br /> Owners Address � Oxmer Phone Number <br /> Fee Simple Titleholder Neme Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS S��' LOT# �� <br /> SUBDIVISION L PARCEL IDq ' Ll(/'�I' ��' �lSJ� <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED � NEW CONSfR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Qi SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME L��`�TEEL [�� <br /> DESCRIPiION OF WORK �i <br /> BUILDING SIZE �' SQ FOOTAGE�� HEIGHT � <br /> �BUILUING VALUATION OF TOTAL CONSTRUCTIOI���UU <br /> �fCECTRICAL S AMP SERViCE Q PROGRESS ENERGY Q W.RE.C. <br /> �LUMBING $ � �' - ,n �� r, � � J� <br /> � vl�t' r-.a� <br /> ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �T <br /> � � �Z � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS ROOD ZONE AREA QYES NO <br /> BUIIDER �iKili COMPANY /�'� ` <br /> SIGNATURE REGISTQtm N �cuaaen 1N <br /> Address License# �� ��(J <br /> ELECTRICIAN COMPAIdY �F�GG <br /> SIGNATURE REGI3TERED M FEECURREA /N <br /> Address / License# �L �� <br /> PLUMBER COMPANY C� <br /> SIGNATURE REGI5TQ2ED N FEECURREA /N <br /> aaare� uce�# / /D <br /> MECHANICAL �MP� `—' <br /> SIGNATURE REC�ISTERED Y N FEECURRE� /N <br /> Address ���# <br /> 07HER �MP� <br /> SIGNATURE rtECISTErteo N FEE CURREA Y/N <br /> pddress License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIAIIAl11111111111111111111111911 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buil�ng Plans;(1)set of Ertergy Forms;R-0-W Pertnit for new construdion, <br /> Minimum ten(�O)working days after submittal date. Requfred onsite,ConsUuction Plans,Stortnwater Plans w/Sift Fence installed, <br /> SanBary Facilities&1 dumpster,Site Work Pertnit for subdivisionsllarge projec[s <br /> COMMERCIAL Attach(3)complete sets of Building Plans ptus a LiFe Safety Page;(1)set of Energy Farms.R-0-W Permit for new construction. <br /> Minirrium ten(10)working days aRer submittal date. Required onsRe,Construction Plans,Startnwater Plans w/Silt Fence installed, <br /> Senitary Facililies 81 dumpster Site Work Permit for all new projecLs.All commercial requiremeMS must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY required for ell NEW consWdiort <br /> Directions: <br /> Fill out appliption completery. <br /> Owner 8 ConVactor sign badc of application,notar¢ed <br /> H over 5250U,a Notice of Commencement is required. (A/C upgradas over S750D) <br /> " Agent(ta ihe conUaclor)ar Power of Attomey(fw tlie owner)woutd be someone with notarized letter from owner authormng same <br /> OVER THE COUNTER PERMITTING (Front af Application Onty) <br /> Reroois if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not wer Counter if on public roadways..needs ROW <br />