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813-��o City of Zephyrhills Pe�rmit Application F�-a��-�eo-ooz� <br /> � Building DepaAment <br /> f � Date Recelved Phone Contact Tor Pertnitting <br /> � ; .' <br /> Ownets Name Owner Phone Number <br /> Owners Address `�1/L"u�s 101� Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phane Number I <br /> Fee Simpte Titleholder Address <br /> JOBADDRESS O LOT# � <br /> SUBDIVISION PARCEL IQI!� ��� �� '�O�D <br /> (OBTAINED FROM PROPERTY 7AX NOTICE) <br /> WORK PROPOSED B NEW coNSiFt B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR I <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK O�/��1ry�u/► Q'r W�I�Vt� <br /> BUILDING SIZE SQ FOOTAGE� I HEIGHT L v <br /> 0 BUILDING $ tA VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY IQ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE i REA �YES NO <br /> i <br /> .I. <br /> BUILDER CpMppNy <br /> SIGNATURE REGISTEF2ED Y/N FEECURRE� Y/N <br /> Address i License# <br /> ELECTRICIAN Cpry�ppNy <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNA7URE REGISTERFD Y/ N FEE CURREn Y/N <br /> Address License# <br /> MECHANICAL �pMppNy <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address i License# <br /> OTHER c COMPANY <br /> SIGNATURE J REGISTERED Y/ N FEE CURRE� Y/N <br /> Address .� ��+- �7 � License# <br /> 11111111111111111111 1111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets af Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new corutrudion, <br /> Minimum ten('10)working days after submittal date. Required'onsite,ConsWdion Plans,Stortnwater Plans w/Silt Fertce installed, <br /> Sanitary Facilities&1 dumpster,Sde Work Pertnit far subdivisionsllarge projeds <br /> COMMERqAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new conshuction. <br /> Minimum ten(10)woricing days aRer submittal date. Required�onsite,ConsWction Plans,Stortnwater Plans w/SiR Fence installed, <br /> Sanitary Facilities&1 dumpster Site Wwk Pertnit for all new pmjects.All commercial requiremeMs must meet compliance <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. I <br /> ""PROPERTY SURVEY required for all NEW consWctian. <br /> Directions:• • • • • • • • • � <br /> Fill ou[application completely. � <br /> Owner 8 Cordrac[or sign badc of application,notar¢ed ' <br /> If over E2500,a Nodce of Commencement is required. (AIC upgredes over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be som i ne with notarized letter from owner authormng same <br /> OVER THE COUNTER PERMITf1NG (FroM of Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Cour�ter if on public roadways..needs ROW <br /> I <br />