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a���saoo2o City of Zephyrhills Permit Application Fax-s��-�eaoozi <br /> � i Building Department <br /> Date Received Phone Contact for Permitting U �� —� <br /> � � � � � � � � r� ri � <br /> Owners Name i er Phone Number <br /> 3sa- sai- o��� i <br /> Owner's Address { i wner Phone Number <br /> Fee Simple Titieholder Name �' i wner Phone Number � <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS J� � � � I LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CoNSTR B ADD/ALT 0 SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME 0 STEEL � <br /> DESCRIPTION OF WORK J� �. e�l�al ��I/3 Q � � D <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING $�0�� � VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.RE.C. <br /> �PLUMBING $ ����� <br /> OMECHANICAL $ VALUATION OF MECHAINICAL INSTALLATION �( <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO��NE ARF�4 �YES NO <br /> `v I <br /> BUILDER COMPANY �y��� �W S�{I� <br /> i � <br /> _ ��'� <br /> SIGNATURE C�. �� REGISTERm N FEE CUR n N <br /> Address `,[ t � License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 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/ N �cuRaEn Y/N <br /> R <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIt1111111111111111111It1111111111111111111it <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0.W Pertnit for new consUuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVudion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permd 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 Pertnit for new construction. <br /> Minimum ten(10)working days after su6mittal date. Required onsite,ConsVudion Plans,Stortnwater Plans w!Silt Fe�ce installed, <br /> Sanitary Facilities 8 1 dumpstec Site Work Permk for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fiil out application completely. <br /> Owner 8 Contractor sign back of application,notar¢ed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades overi57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)woutd be someone with notarized letter from ovmer authorrzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PfoUSurveylFootage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br /> I <br />