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, ' - � <br /> , e�aasaoozo City of Zephyrhills Permit Application Fax•873•780-0021 <br /> , Building Department <br /> Date Received Phone Contact for Pertnitting <br /> TT7T�T <br /> OwneYs Name /� � . �� � � /�C OwnerPhone Number <br /> Owners Address ���/II�i���' �'G.�/^" ���inrner Phone Numher <br /> Fee Simple l7lleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOBADDRESS � �fJ LOT# � I <br /> SUBDIVISION PARCEL ID# •.�47�I"Q�.+�C�^G".✓� '�Q°C%Q�C� <br /> (OBTAINED FRON PROPERTY TAX NOTICE) <br /> WORKPROPOSED e NE�vcoNSrR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK l 'L '•J�' ��y`ZUO CJ�Gi�iiS /O,�'/�/S%/yt �,l/�G/�, <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBU�LDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ) �'`� a�A�SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> / <br /> QPLUMBING $ �O� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> J' - --- - i-6-1i7 6 iii liiii7�1� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FeE cuwtEn Y/N <br /> Address License# <br /> L � <br /> ELECTRICIAN COMPANY � • iv �,� �� <br /> �� SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address /� /�7,r� �/ /,3Lj./ License# `C�d l <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERE� Y/N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL � COMPANY <br /> SIGNATURE ftEGISTERED Y/N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sefs of Building Plans:(1)set of Energy Fortns:R-0.W Pertnit for nev�construction, <br /> Minimum ten(10)working days after submittal date. Required onsite.ConsVuctian Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pemtit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa(e[y Page:(1)set of Energy Fortns.R-O-W Pertnit tor new consWctian. <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ail new projects.All commerdal requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. I <br /> ""PROPERTY SURVEY requfred for all NEW construction. I <br /> Directions.• <br /> Flll out appiication wmpfetely. <br /> Owner&Contractor sign hack of application,notarized <br /> It over$2600,a NoOce of Commencement Is requl�ed. (AIC upgrades ovar$7500) <br /> " Agent(for the contractor)or Power afAttomey(far the owner)would be someone with notarized letter from owner authorizing same <br /> � OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />