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a�sa8aoo2o _ � City of Zephyrhills Permit Application�---� ° � ` � Fax s�aaso-ooz� <br /> 4 ,._ �. ._, .._..,.._.',,. ....., ...'...._�i; .: Building Dep��rtinent� � . _ ,,. � , <br /> , '" �. - - �. �,G -;u, -��_ . - _ �::��.. ._ , �- , <br /> - `� ,.,�.. . ,�;�.. , ,,, .} �: :';': . _,� _ ' <br /> Date Recelved , ' �;,�- - Phone Contact for Per �Ittin - - - = �� <br /> 9: <br /> Owner'�Name � Owner Phone Number �OJ�' �o��• �'Y <br /> Owner's Address � J O�i �/4y Owner Phone Number <br /> Fee Slmple Tltleholder Name Owner Phone Mumber <br /> Fee Simple Tltleholder Address <br /> - � r_� <br /> JOB ADDRESS LOT# <br /> � <br /> SUBDIVISION : PARCEL ID# 7 ���/ O � O �OOO� � S� " <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK P120POSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� C Q I C it'/� T/�J /~ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> [�MECHANICAL $, VALUATION OF M CHANICAL INSTALLATION <br /> � 'J• � � <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> - BUILDE� -- — — - - - - -CO�P�p�y - -- --- — - - - � -- -- <br /> SIGNATURE REGISTE.RED Y/ N FEE CURRE� Y/N. <br /> Addres� Ltcense# <br /> ELECTRICIAN CONEP� � <br /> SIGNATURE REGISTER ID Y/ N FEE CURRE� Y/N � <br /> I <br /> Address " � Llcense# <br /> PLUMBER COMPAf�Y � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# <br /> MECHANICAL / COMP 1 /� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y N <br /> Address liiJ �� ��t�t- i� ��5',3.ro7.S� �icense# Q �p ,s� iS <br /> OTHER COMP Y ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> � <br /> Addre�s Llcense# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding'Plans;(1)sef of En rgy Form§;R-q-W Permlt for new construction, <br /> Minlmum ten(�10):working;days.aRer submlttal date. Requlre onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGliUes.&1 dumpster Site Work�Rermit for subdivi�SlonsAarge proJects <br /> COMMERCIAL Attach(3)eomplete sets of Bullding Plans plus a Life Safety F�age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. Requiretl onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence lnstalled, <br /> SaniNary Facllides&1 dumpster.Site Work Pertnit for all new proJects.All commercial requlrements must meet complfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for aIl NEW constructlon. <br /> Dlrectlons: <br /> Ffl�out applicaUon completely. <br /> Owner 8 Contractor slgn back of applicatlon,notarized <br /> If over 32500,a Notice of Commencement is rsqufred. (AIC upgrades over 57500) <br /> " Agent(for the contraotor)or Power of Attomey(for the owner)would be so�eone with notadzed letter from owner authorizing same <br /> �VER THE COUNTER PERMITi1NG (Front of Appllcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />