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� �� <br /> I <br /> . • e��-�so-oozo City of Zephyrhills Permit Application Fax-a��-�saooz� I <br /> Building Department • � � <br /> Date Recelved Phone Contact for Pertnittin ��3 ��,' — C�10l(7 <br /> Owners Name � �/1� L� Owner Phone Number ,3..`i d-' �.5 7����3' <br /> OwneYs Address �Q. 7� s�'s�— Owner Phone Number <br /> Fee Simple TiUeholder Name /� /4 Owner Phone Number <br /> i <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS � s7 t/� � ► �r - L-�F# y.�-7��' <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED NEW CONSfR ADDIALT 0 SIGN Q Q DEMOUSH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP710N OF WORK �CQ��. � � � <br /> BUILDING SIZE SQ FOOTAGE� HEJGHT � <br /> QBUILDING $ �/ VALUATION OF TOTAL CONSTRUCTION <br /> N <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ V J � �/_ �� <br /> ��f �Q <br /> QMECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> • BUILDER COMPANY � -P/ <br /> SIONATURE REGISTERED Y/ N � :�ECU n !N <br /> Address 4� �I� J J / Llcense# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RECISrE�EO Y/ N r�cuRr�n Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE ' aECisTeam Y! N FEECURRQ. Y/N <br /> Aildress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTFRED Y/ N �CuwtEn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE. REC�srEttm Y/ N FEE CURRQ. Y/N <br /> Address License# <br /> 1 I 1 1 1 1 1 1 1 1 I 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 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set oi Energy Fortns;R-O-W Permit for�new consWdion, <br /> Minimum ten(10)warking days after submittal date. Required ansite,ConsVuction Plans,Stormv�rater Pians w/Silt Fence installed, <br /> � Sanitary FaGlities&1 dumpster,Site Wark Pertnit for subdivisionsllarge praJeds <br /> COMMERCIAL Atlach(3)complete sets of Bu7ding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new co�struction. <br /> Minimum ten(10)working days after submittal date. Required onsile,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWCtion. <br /> Dlrectlons:• <br />�� Fill out application completely. <br /> Owner 8 Contractor sign back of appfication,notar¢ed <br /> If over 5z500,a Notice of Commeneement Is requlred. (A/C upgrades over 57500) <br /> " Agent(for the contracto�or Power of Attorney(for the owne�would be someone with notarized letter from owner authorizing same <br />� OVER THE COUN7ER PERMITIING (Front of Applica6on Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />