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8��-�8a�� City of Zephyrhills Permit Application F�-���-��� <br /> Building Department <br /> Date Received // <br /> , . r <br /> PhoneContactforPermittinq V `Jc � � - � � <br /> � 1 t 1 1 1 1 1 1 1 1 i 1 /�� <br /> Owners Name v��t��l'1�. �Q�� Owner Phane Number •J�,-;1 -�a(:!��'/%7!� <br /> Owners Address JJ-'7 /��� � �' ��l I . Owner Phone Number <br /> Fee Slmple TiUeholtler Name Owner Phone Number <br /> Eee Simple TiUeholder Addr�s <br /> J.�.,- .�. 1 `nr 7 <br /> I JOB ADDRESS J �J �� S� L 7 � �S LOT# <br /> SUBDIVISION PARCEL ID# ������i''v�,'vvl D' � -G��j `J <br /> ,,----��rr (OBTAINED FROM PROPERN 7AX NOTtCE) <br />' WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> , PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPEOFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK R �� 'C� /'l I � 5 "Z Tc!7� lJ ' / ^ C C- P Ga�cQ� <br /> � l� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL y AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ /_� <br /> ^�`C <br /> �MECHANICAL $.g��y�� p;,� VALUATION OF MECHANICAL INSTALLATION 2� <br /> �' � � a f � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />, BUILDER n f � iL COMPANY <br /> SIGNATURE ��� r� REGISTERED Y J N FEE CURREN Y/PJ <br /> Address License# <br /> . ` <br /> ELECTRICIAN � COMPANY � �l� w �� <br /> SIGNATURE REGI5TERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER � � �' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> AddresS License# <br /> MECHANICAL COMPANY �L�i,l`t � 1 � •1 '� �� '� S-� (� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ���� lS� �i'J�:7 �.�..V�� .�G� f'� License# ' � � I � ,r ��C <br /> OTHER ��v � �( � COMPANY <br /> SIGNATURE { REGI5TERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IllllllllllllllllllllllllllllllllllllllllllllllllllllGilllllllllltl <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permd for newconstrudion, <br /> Minimum ten(10)working days after subm'Rtal date. Required onsite,ConsWdion Plans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities 8�dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for neweonstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Sitt Fence instalied, <br /> Sanitary Facilities 8'I dumpster.Site Work Permit for all new projeds.All commercial requiremenLs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required fa ail NEW construdion. <br /> Directlons:• <br /> Fill ou[application completely. <br /> O�mer&ConVactor sign back of application,notarized <br /> If over 52500,a Notice of Com mencement is required. (A/C upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attorney(for the owner)wnuld be someone with notar¢ed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not wer Counter if on public roadways..needs ROW <br />