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� a��-�aaoozo City of Zephyrhills Permit Application Fax-s��-�aaooz� <br /> _ Buil ing Department <br /> ,Date Received —�' Phona ConWCt or Permittin /� G — � � `��`� <br /> Owner's Name ,v C Owner Phone Number <br /> Owner's Address �� � �,V ����`!�� � ner Phone Number <br /> 7,�/�� <br /> Fee Simpte Titleholder Name Owner Phone Numher <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �I `�� �ltS �� LOT# �� <br /> SUBDIVISION PaRC��io# O 2� Z6 � L�— !'lO l V '' �0�'OD--O 3 D <br /> (OBTAINED FROM PROPERTYTAX NOiICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ T 0 SIGN � Q DEMOLISH <br /> INSTALL REPA R <br /> PROPOSED USE Q SFR � COM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAM Q STEEL Q <br /> DESCRIP710N OF WORK ��1�� N� / J`r• /"K►���t�1 �L � I�" <br /> W�,� <br /> BUILDING SIZE � SQ FOOTAGE �� HEIGHT � � <br /> QBUILDING $Z�,�d ,� VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ �l�-�/ AMP SER CE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ' / J/�f�G � ; / <br /> v L� <br /> , QMECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION ��l/�P �� <br /> QGAS � ROOFING Q SPE IALTY Q OTHER ���t-I <br /> FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO <br /> BUILDER OMPANY <br /> SIGNATURE EGISTERED Y/ N F�cuRREn Y/N <br /> Address � License# <br /> ELECTRICIAN ` OMPANY �rC��'J��� �� <br /> SIGNATURE EGISreRm / N FEE CURREA Y/N <br /> Address �-(�• 7o i'fl e �3 Llcense# �S lLl�iO �3 <br /> PLUMBER OMPANY <br /> SIGNATURE EGISTERED Y/ N FEECURREA Y!N <br /> Address License# <br /> MECHANICAL OMPANY <br /> SIGNATURE EGI5TERED Y! N FEE CURREA Y/N <br /> Address License# <br /> S �OTHER �— rCOMPANY t �J� /N� l I <br /> C� SIGNATURE REGISTERED Y! N �ECURRen Y!N <br /> Addresa '�' t �' 33 � IJcense# � �Z���/ <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItI <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et of Energy Forms;R-O-W Pertnit far new construction, <br /> Minimum ten(70)working days after submittal date Required onsite,Construction Plans,Stortnwrater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Wark Permit i r subdivisionsllarge proJects <br /> COMMERCIAL Attach(3)complete sets oi Building Plans plus a LI Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructton. <br /> Minimum ten(10)working days after submittal date Required onsite,ConstrucHon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit r all new prajecls.All commercial requirements must meet campllance <br /> SIGN PERMIT Aftach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW con truction. <br /> Directlons: <br /> Fill out app�ication completely. <br /> Owne�R Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commeneement is requlred. (AIC Ipgrades over 57500) <br /> •• Agent(for the conVador)or Power of Attomey(for the owner)vro�lld be someone with nolarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs K shingles Sewers Service Upgrades A!C Fe ces(PlotlSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />