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ai�-�aaoozo City of Zephyrhills Permit Application F�c-a��-�saoozt <br /> ` Building Department <br /> 1 <br /> Date Received <br /> Phone Contact for Pertnittin <br /> Owners Name r J' Owner Phone Number � — � <br /> Owners Address � �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUehoider Address <br /> JOBADDRESS O � � �- Z LOT# � %Z <br /> SUBDIVISION IKO6 f Q / I dJa PARCEL ID�F ��' ZL� �' D"O� Qd" O <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � 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 /> DESCRIP710N OF WORK 7 � O <br /> f <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> OBUILDING $ �Q�/_-� VALUATIONOFTOTALCONSTRUCTION <br /> 7 �P <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGI5TERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE �GIS7EaEO 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/ FEE RREt� • Y/N <br /> Address � G/Q� �yt � (� ,�,Sy,r License# <br /> IIIIIIIIIIItlllllllllllll 11 11 III1111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcllon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcfion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building 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 suhmittal date. Required onsite,Construction Plans,SYormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "`•PROPERTY SURVEY required for all NEV1/consVuction. <br /> Directions:• <br /> Fill out application completeiy. <br /> Owner&Cantractor sign back of applicaGon,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 owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITi1NG (Front of Applicatian Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PlobSurveylFootage) <br /> Driveways-Not over Counter if on pu6tic roadways..needs ROW <br />