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; <br /> a»-�aaoozo City of Zephyrhills Permit Application Fax-si�-�saooz� <br /> - Buiiding Department <br /> Date Received ,�Z C Phane Contactfor Permitting l�"� �� �— � / <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> _l � <br /> Owners Name �+p'C �� ! Owner Phone Number ��o � � � <br /> ,,c / 'L� �` ' $!3 ?So �24g <br /> Owner'sAddress W C.OhjSIT��DF.cIJ 5T/��� OwnerPhoneNumber <br /> !� I <br /> Fee Slmple Titleholder Name ir �1��5 � Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address I <br /> �L <br /> JOB ADDRES3 Z S � ✓� I I �D 1VNI 2E �4 r l�1�(,s S LOT# � <br /> SUBDIVISION ` PARC IL ID# SZ 5L� �I � $S� OOOD <br /> (OBTAINED FROM PROPERTYTAX NO710E) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM� 0 OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP710N OF WORK �i r�,�G � I.L-f�'ST�� <br /> BUILDINO SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING S VALUATIOrI OFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING Q �r�����' \b��� <br /> L •• � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 , OTHER <br /> FINISHED FLOOR ELEVATIONS FLOiD ZONE AR64 QYES NO <br /> BUILDER •IOMPANY• ���?/�'"�'� �M���• <br /> SIGNATURE �EGISTEREO Y N FEE CURREt� Y/N <br /> Address I License# <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REG�STE32m Y/ N FEECURREn Y!N <br /> Address I License# <br /> PLUMBER r_ /�, / I OMPANY �/Jl Ory,�fv�GTI(�A� COMQ�N <br /> SIGNATURE T �v �� GISrE�t� Y N FEE CURREA Y/N <br /> Address � r/i�� � I /� License# <br /> MECHANICAL I OMPANY <br /> SIGNATURE �REGISiERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N �E cuR�h Y/N <br /> Address I License# <br /> IIf11I111111111111I1111I1I1t1111I1I�11111I111t1I1111I1111f1111IIIfI1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)worldng days after submittal date� Required onsite,ConsUuclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facili6es 81 dumpster,Site Wark Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Li�e SaTety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <br /> Mlnlmum ten(10)working days after submittal date. Requlred onsfte,ConsWctlon Plans,Stortnwater Plans w/Silt Fence Installed, <br /> Sanitary FaGlities&1 dumpster.Site Wor1c Permit for all new prajects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. <br /> ""PROPER7Y SURVEY required far all NEW construction. <br /> - <br /> Direclions:• • • • • • • • • • • • • • • • • • • • • • • I <br /> Fill out applicatfon completely. <br /> Owner&ConVactor sign back of application,notarized <br /> It over 52500,a Notice of Commencement Is required. (A/C i pgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)woi Id 6e sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Noi over Counter if on public roadways..needs ROW <br /> I <br />