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f <br /> � s��-�so-oozo City of Zephyrhills Permit Application '1 Fau-813-780-0027 <br /> M - Building Department ���•}� n�t l���� '��r{/J <br /> +. � �� 7� <br /> Date Received phone Cantact for Pertnitting �� Z 3 3 � I?� <br /> Ownels Name �/" 1�`Qi�.S-� Owner Phone Number <br /> i <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS a� 1 �� I LOT# � �I <br /> SUBDIVISION PARCEL ID#I <br /> I (OBTpINED FROM PROPERTYTAX NOTCE) <br /> WORK PROPOSED e NEW CoNSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK v i ��I(,��J" � + <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �f � ���n-� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U U <br /> QGAS Q ROOFING Q SPECIALTY ID OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ,I, <br /> I <br /> BUILDER COMPAr1Y <br /> SIGNATURE aECisTERED Y/ N �cuRREn Y/N <br /> Address I License# <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �cisTe�� Y/ N �Cu�n Y/N <br /> Address License� <br /> PLUMBER COMPAINY <br /> SIGNATURE r�clsrE�o Y/ N �cuw�n Y/N <br /> Address License� <br /> MECHANICAL COMPA�NY <br /> SIGNATURE �cis��o Y/ N r�cuwx�n Y/N <br /> Address License# <br /> OTHER '�� COMPANY ��'�- T't��1�' ss�-�- � ►�n�,9�,�3 <br /> SIGNATURE �c�s�n Y/ N �cuwt�n Y/ <br /> i - <br /> Address ( �� " /� � � �Y�^t r�1 �.I License# � I Zu����j� � <br /> 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 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 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E�ergy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Woric Pertnit for subdi�isions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Lffe Safet�Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all n i projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructiorl: . <br /> I <br /> Directions:• • • • • • • • • • • • • • • • • • • • • • I <br /> Fill out application completely <br /> Owner 8 Contrador sign back of application,notarized <br /> If over�2500,a Notice of Commencement is required. (A/C upgradesI over$7500) <br /> " Agent(for the contractar)or Power of Ariomey(for the owner)would be sdmeone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITf1NG (copy of conUact required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIOUSurvey/Faotage) <br /> Driveways-Not over Counter rf on public roadways..needs ROW <br />