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i <br /> s��-7so-oazo City of Zephyrhills Permit Applicatian �ax-sT3-7so-oazt <br /> , Building Department <br /> Date Received Phone Contaat for Permitting -- <br /> —� � c� � <br /> Qwner's Name Owner Phone Number 6� r <br /> Owner's Address � Z�-- Owner Phono Number � � <br /> Fee Stmqle Titlehotder Neme � � Owner Phone Number � � <br /> Fee Simpte Tittehotder Address <br /> JOB ADDRESS `����� LOT# �� <br /> suB�ivts�oN PARCf�tD# s3 � 2b -21 - Qy��} �-�o- �,��2{� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> W4RK PROFOSEQ e NEW CONSTR 8 ADDIA�T � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br />' TYPE OF CONSTRUCTION [� BLOCK Q FRAME � STEEL Q <br /> DESCRIP'f18F1 OF WOi2K 2"'�,t/� �' s� �5 —S � �i�^'{� .-- A1�b �--�—'�O <br /> BUILDING SIZE �� � SQ FOOTAGE C___� HEIGHT C`� <br /> �BUItDtIVG $ VALUATION OF TOTA�CONSTRUCTIQN <br /> ��t�� � <br /> QELECTRIGA� r> � AMP SEE2VICE 0 PROGi2ESS ENERGY Q W.F2.E.C. � <br /> � S S <br /> OPLUMBWG $ ��(�� � k�i�'"� � <br /> � l�'�'�,l' ���e.�' �(r S <br /> QMECHANICAI. $ VALUATION QF MECHANICAL(NSTALLATfON v � � <br /> � ��` � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �� <br /> � <br /> FINISHED FLOOR ELEVATIONB FLOOD ZONE AREA QYES NO <br /> V�, <br /> BUILQE[2 • f- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � �� <br /> P <br /> EI.ECTRtCtAN � Z '� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PI.UMBER � COl�tFANY <br /> SIGNATURE REGISTEFtED Y/ N FEE CURRE� Y/N <br /> Address �icense# �^ � <br /> MECHANIGAL ,' � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# �� � <br /> OTHER COMPANY � <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l.icense# �� � <br /> RESlDENTIAL Attach(2)Plot Plans;{2�sets of Bullding Plans;(1}set of Energy Fnrms;R-f}-W Permit for new cartsteuction, <br /> Minimum ten{10}working days after submittal date. Required onsite,Consbvc6on Plans,8tormwater Ptans w/Siit Fence instailed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit far subdivisfons/large prajects <br /> COMMERCIAL Attach{3}compiete sets of Suliding Pians plus a life Safe#y Page;{1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days'after submittei date. Required onsite,Constn�ction Plans,Stonnwater Pians wJ Sift Fence instalied, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit fior all new projects.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach{2}sets of Engineered Pfans. <br /> "*'PROPERTY SURVEY required far ail NEW conshuction. <br /> Dlrectfons: <br /> Fitl aut application completety. F <br /> Owner&Contractor sign back of application,notarized <br /> if over S250d,a 13atice af Cammenceme�rt is reqaired, {AtG upgracles over$T5d0} <br /> `" Agent(for the contractor)or Power af Attomey(for the owner)would be someone with notarized lekter from owner authorizing same <br /> OVER THE COUNTER PERMITTING {Frant of Appt9cation Onty} <br /> Reroofs if shinglss Sewers 5ervice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-1Vat over Counter if an public roadways..needs R01N <br /> � <br /> � <br />