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8�s-�so-oozo � City of Zephyrhills Permit Application , Fax-s�s-7ao-ooz� <br /> Building Department <br /> � A <br /> Date Received phone Contact for Permitting -- <br /> Owner's Name J�n � Owner Phone Number <br /> Owner's Address 3$u�� ��V�, �Q'� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Nurriber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� I � l.` 4�I V � - ��� LOT# � <br /> SUBDIVISION PARCEL ID# �3'�` Z j '��l D'63�C D '�O�� <br /> _ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NSWA�ONSTR e REPAIR � SIGN Q MOVE [� DEMOLISH. <br /> PROPOSED USE Q SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL � OTHER <br /> DESCRIPTION OF WORK ��` Z(� SI�R � • ��� V� 'C V�rG� �� m�•1�1 �' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ 1 1��� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 1 <br /> 0 PLUMBING $ � / �/,; 3(.� <br /> � 'Y <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY i� \Q���� �-�-�—��v�C . <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address C•�• �,� � �3�i License# �1'.�dQ I�jZS�j� <br /> PLUMBER • COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum.ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*"PROPERTY SURVEY required for all NEW construction. . <br /> i Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized , <br /> If over$250U,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.:needs ROW <br />� <br />