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e�saeo-oozo City of Zephyrhills Permit Application FaX-s�saeo•ooz� <br /> Bullding Depertment <br /> • • Date Recelved phone Contact for Permlttin <br /> Owner's Name Owner Phane Number �5" .Z. � <br /> �nar's Addresa �2�3 ��(�,jn Q'�'� � Owner Phone Numbar <br /> 1 �, /� <br /> Fee Simp Itleholder N�e� Owner Phone Number <br /> Fee Slmple Tltleholder Addresa I <br /> JOB ADDRESS (L � I �pT� '�� <br /> SUBDIVISION -L y'ML�S PqRCEL ID# I '���� —c.V d <br /> (OBTAINEOFROMPROPERTYTAXN CE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q DEMOLISH <br /> INSTALL e REPAIR I R�fZ('jQ� <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �I� STEEL Q <br /> ` 1f1�+ 1 <br /> DESCRIPTION OF WORK �� �L � � vy� <br /> �,�(�J_ �� �RJ <br /> BUILDING SIZE � �"�"�ILL� q FOOTAGE� ` HEIGHT � � • '���-���'� <br /> QBUILDING $ �7C d� VALUATION OF TOTAL CONSTRUCTION <br /> �r) <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W,R.E.C. <br /> QPLUMBINO $ <br /> QMECHANICAL $ VALUATION OF MEICHANICAL INSTALLATION <br /> QGAS �OOFING Q SPECIALTY IQ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE I REA QYES NO <br /> BUILDER COMPAN� <br /> SIGNATURE REOISTERED Y/ N FEE CURRE� Y/N <br /> Addreae License i! <br /> ELECTRICIAN � COMPAN�' —� <br /> SIGNATURE REOISTERED Y/ N FEECURRE� Y/N ' <br /> Addreas License# <br /> PLUMBER COMPANY <br /> SIONATURE RE019TERE Y/ N FEE CURREA Y/N <br /> Address Llcenae# <br /> MECHANICAL COMPAN <br /> SIGNATURE REGISTERE Y/ N FEE CURRE� Y/N <br /> Address llcense# <br /> OTHER COMPANY rf O�Lt���/�L.Ur� <br /> SIGNATURE REOISTERE Y/ N FEE CURRE� Y/ <br /> Addresa 1 �� J�� Llcense# ��2 �/,Z <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllll <br /> RESIDENTIAL Attach(2)Plot Plana;(2)sets of Building Plans;(1)set of Ene�gy Forms;R-0•W Permlt for new constructlon, <br /> Minlmum ten(10)worlcing deys after submittel date. Requlred onsite,Constructlon Plans,Slormwater Plans w/Sllt Fence Installed, <br /> Sanitary Fecllltlas&1 dumpster;Slte Work Pertnit(or subdivis ane/large proJacts <br /> COMMERCIAL Attech(3J complete sets of Bullding Plans plus a Llfe Safety Page;(1)set of Energy Forms.R•0-W Permit for new constructlon. <br /> Mlnlmum ten(10)working days after submittel dete. Requlredlonsite,Constructlon Plana,Stormwater Plena w/Sllt Fence instelled, <br /> Sanitary Facllltles&1 dumpster.Slte Work Pertnit for ell new proJects.All commercial requlrements must meet compilance <br /> SIGN PERMIT Attech(2)sets of Englneered Pians. <br /> ""PROPERTY SURVEY requlred for all NEW constructlon. <br /> Dlreetlons: <br /> FIII out applicatlon completely. <br /> Ovmar&Contractor sign back of appllcatlon,notarized <br /> If over 5�600,a Notice of Commencement Is requlred. (q!C upgrades ol ar 57500) <br /> '• Agent(for 1ha contrector)or Power of Attomey(for the owner)would be aomQone wlth notarized letter from awner euthorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appllcatlon Only) I <br /> Reroofs If shingles Sewers Servlce Upgrades AIC Fances(PIoV urveylFaotage) <br /> Drlveways•Not over Counter If on publlc roadways..needs ROW <br />