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a��-�saoozo City of Zephyrhills Permit Application Fax-ai�-�aaoozi <br /> ' Building Department <br /> Date Received Phone Contact for Permittin <br /> Owners Name �f1 AYl C f.r I, Owner Phone Number Z�'"�� � 0 <br /> Owners Address ]/�cJ �Q r � (� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � G1� y0 < < . �� � YN�1 � ��J LOT# � <br /> SUBDIVISION ` Q�..5 { PARCEL ID# c�J�Z�` � I O O—O —O D <br /> (OBTAINED FROM PROPERTY TA7C NOTICE) <br /> WORK PROPOSED e NEW CoNS7R e ADD/ALT 0 SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> � <br /> BUILDING SI2E SQ FOOTAGE B � HEIGHT .�� <br /> � � � � r-�� � � � � � � ��� r� � � � � � � � � rr r—rr-� <br /> OBUILDING $ ��6 O� � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFI� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFJ� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNANRE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGI5TERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY �/� I T <br /> SIGNATURE REGISTERED Y/ FEE CURREt� Y/N <br /> Address 0/ ,3s�.f` License# <br /> , 11111111111111111111111111 III111 IIIIIIIIIIIIIIIIIIIIIIIIIIII11111 <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion. <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stormvrater Plans w/Siit Fence instalied, <br /> Sanitary Facililies&1 dumpster.Site Work Permit 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 construction. <br /> Direct�ons:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,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 PERMITIING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> I Driveways-Not over Counter if on public roadways..needs ROW <br />