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• 8ia-78o-ooza City of Zephyrhills Permit Applicatian F�a���saooz� <br /> • ' Building Department <br /> Date Recelved phone Contact for PertnHtin v 1 O L —��� <br /> Owner's Name � Ovmer Phone Numbe► J� � �S- 3sa <br /> Ownefs Address � � V � . � �-Owner Phone Number <br /> Fee Simple TiBeholder Name /v �" Owner Phone Number <br /> Fee Slmple Titleholder Qd /l. <br /> JOBADDRESS U � Z LOT� � <br /> SUBDIVISION ��� PARCEL ID# 1 'L���—��^� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PR�POSED e NEW CANSTRB ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK e.�� ' I <br /> BUILDINGStZE SQFOOTAGE� HEIGHT � <br /> QBUILDING S ,/ �'j VALUATION OF TOTAL CONSTRUCTION <br /> .t <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING § AL N TALLA ON �`�`�� <br /> OMECHANICAL $ VALUATION OF MECHANIC I S Tl <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY � �C� � \v�T l <br /> SIGNATURE REGISTERED / N FEECUR En N <br /> � � l � <br /> qdqress �..`� � License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N �cuattFt. Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N �E cURREA Y!N <br /> pddress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REOISTERED Y/ N �cuw�n Y i N <br /> Address Llcense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> pddress License# <br /> IIIIIIIIIIIIIIIIIIIIII � IA111111ti11AI1t1111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(�sets oi Building Plans;(1)set of Energy Fortns;R-O-W Permit far new consWCtion, <br /> Minlmum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Pians wl SAt Fence instalied, <br /> Sanitary Faciiities 81 dumpster;Site Work Permit Tor subdivisionsllarge projects <br /> COdIMERCIAL Attach(3)complete seLs of Bu�lding Plans plus a Life Safety Page;(1)set of Errergy Forms.R-O-W Pemtit far new construction <br /> Minimum ten(10)warking days aRer sutrmittal date. Requ�red onsite,Co�struction Plans,Stortmvater Ptans w/S�t Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new Projects.All commerc(al requirements must meet compliance <br /> 91GN PERMIT Attach(2)sets of Engineered Plans. <br /> "'PROPERTY SURVEY required for all NEW construcHon. <br /> Directions:• <br /> Ffll out applicatian completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 5�00,e Nolice of CommencemeM Is requlred (AIC upgrades over�750D) , <br /> " Agent(for the contractor)or Pawer of Attomey(for the o�me��rroukl be sameone wilh nptarized terier from owner authorizing same I <br /> flVFR T}1F r.Q�J!A?FR pERP.��TP.NL�' ;Fron!o!.°.rriC,'h=•"•^.^_'i: I <br /> RerooTs ii shingles Sewers SeMce Upgrades AIC Fences(PIoUSurveylFootage) <br /> DrivewaysrNot over Counter If on public roadways..needs ROW <br />