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e��-�ao-oozo City of Zephyrhills Permit Application F�$��-�8aoo2� <br /> Building Department <br /> i <br /> ' Date Received phone Contactfor Permittin <br /> Owners Name �� ���Q Owner Phone Number <br /> Owner's Address C7�� G,�� '✓ Owner Phone Number <br /> Fee Simple Titleholder Name Oxmer Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS G�� R �� �✓�1/ LOT# � <br /> SUBDIVISION PARCEL ID# OO O � 7� O�.�.� <br /> (OBTAINED FROM PROPERTY TAJC NOTICEj <br /> WORK PROPOSED e NEW CoNSfR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER a <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> � �a J� <br /> DESCRIPTION OF WORK C 1 P 1 ti Or � S��'L S�� I`� � �f��e � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING S ��.� VALUATION OFTOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ S � !/'� <br /> � / `1 v' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l l <br /> QGAS Q ROOFING� SPECIALTY Q OTHER �[J� <br /> FINISHEDFLOORELEVATIONS FLOODZONEAREA QYES NO <br /> BUILDER COMPANY /GtC/� � y`c.cnj•itd r� is. � <br /> SIGNANRE REGISfERED Y/ N FEE CU REN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIONATURE REGISfERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISiERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 07HER COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 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 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 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 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)vwrking days after submiNal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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-4W Permit for neW construdion. <br /> Minimum ten(10)working days after submittal date. Requirad onsite,Construdion Pians,Stortnwater Plans w/Sik Fence installed, <br /> Sanitary Facilities&1 dumpstar Site Work PermR for all new projects.All wmmercial requirements must meet compllance <br /> SIGN PERMIT Attach(2)sats of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEVII construction. <br /> � Illlil � � l � • l • • i• <br /> Directions: <br /> Fill out application completely. <br /> Ownar&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7600) <br /> '" Agent(for the contrador)or Power of Attorney(for the owner)wvuld be someone with notarized letter from owner authorizing sama <br /> OVER 11iE COUNTER PERMITIING (Front of Applicatian Only) <br /> Reroofs iF shingles Seu�ers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over CouMer if on public roadwdys..needs ROW <br />