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� s��-�saoo2o City of Zephyrhills Permit Application FaX-e��-�saooz� <br /> • Bui�ding Department <br /> Date Received phone ContactforPertnittln <br /> ownersName SCeY/ irCfi Q tr I OwnerPhoneNumber —� <br /> Owners Address 7/2 �1'{1 r � I Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Numher <br /> I <br /> Fee Simple Titleholder Address I �i <br /> y i ! � <br />� JOBADDRESS f S! ( � d LOT# <br /> SUBDIVISION (�U!'�1 IJG.re PARCEL IDiF I�/ '2l!�Z�"D ZQD'"OD� "� <br /> WORK PROPOSED e NEW CONSTR e ADDlI LT � SIGN NED FR�OM PROPERTYT�nc�DEMOLISH <br /> INSTALL REP�IR <br /> PROPOSED USE Q SFR Q COM�� � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ..��1 Q . <br /> I �� <br /> BUILDING SIZE SQ FOOTAGE Z ,S� HEIGHT � <br /> OBUILDING $ VALUATI�N OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERI ICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��� <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � \ Y <br /> QGAS Q ROOFING Q SPECIALN � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO i D ZONE AREA QYES NO <br /> I <br /> BUILDER �OMPANY <br /> SIGNATURE I EGISTERED Y/ N FEE CURREl� Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �EGI5rEREO Y/ N FEE CURREP Y/N <br /> Address I License# <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> i Address License# <br /> I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> I <br /> Address I License# <br /> OTHER �COMPANY <br /> SIGNATURE �tEGIS1ERED Y/ FEE URRE� Y/N <br /> Addreu G�/G.vl ' � I License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plo[Plans;(2)sets of Building Plans;('I) et of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.�Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> i Sanitary Facilities&1 dumpster,Site Work Permit fOr subdivisionsllarge projec[s <br />, COMMERCIAL Aflach(3)complete sets oT Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date.l Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commeraal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br />' •"•PROPERTY SURVEY required for all NEW consWdion. <br /> .I. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicalion,notarized <br /> If over$2500,a NoUce of Commencement is required. (A/C upgrades over$7500) <br /> 1 <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 Application Only) <br /> Reroofs if shingies Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />