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e��-�so-oozo City of Zephyrhills Permit Application F�-s��-�so-ooz� �� <br /> , Building Departrnent <br /> Date Received � <br /> Phone Conqct for Permitting <br /> t � 1 1 1 1 1 � � � � � 1 <br /> Owners Name Owner Phone Number <br /> Ovmer's Address �1 ��� Owner Phone Numher <br />� Fee Simple TiUeholder Name �TC Owner Phone Number <br /> Fee Simple Titlehalder Address <br /> JOBADDRESS V LOT# l�JZ <br /> SUBDMSION PARCEL IOR I V�� <br /> (OBTAINm FROM PROPERTY TAX NOTICE� <br />, WORK PROPOSED � NEW CONS7R B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q� SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUC770N Q BLOCK Q FRAME Q STEEL �� <br /> DESCRIPTION OF WORK (�ILY <br /> \ 2 � <br /> BUILDING SIZE 1� � J SQ FOOTAGE HEIGHT <br /> �UILDING $ . [v VALUATION OF TOTAL CONSTRUCTION � ���, <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY O W.RE.C. <br /> �UMBING $ ��� /� <br /> � r�p <br /> ' ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i QGAS Q ROOFlNG Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO �`,� <br /> 0 � �� <br /> - (,rG,b��i� <br /> BUILDER /// COMPANY � � 1 1 �� � <br /> SIGNATURE (�! REGISTIItID Y N �curta�r� N <br /> Address License# � ��� <br /> ELECTRICIAN COMPANY C� �l �l� �j�eQ 1.v��'��� <br /> SIGNATURE r�ctsr�eo ! �cuaaEn Y N Y�~ <br /> Address L License# <br /> PLUMBER COMP.ANY '�1 11 1F-{ � <br /> SIGNATURE rscisr� Y N �cuar�N N <br /> Address l License# 1 D � <br /> MECHANICAL COMPANY • <br /> SIGNATURE r�cisrEaEO Y N �cuaaeN /N <br /> Address � License# <br /> O7HER COMPANY <br /> SIGNATURE r�cisr�o Y/N �e curu�n Y!N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set af Energy Fortns;R-aW Permit for new consWction, <br /> MiNmum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormvrater Pians w/S�t Fence installed, <br /> Sanitary Fadlities 81 dumpster,Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Bu7ding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permk for new construction. <br /> Minfmum ten(10)woriting days after submittal date. Required onsite,ConsWction Plans,Sto�mvrater Plans w/Sllt Fence installed, <br /> Sanitary Fadlities&1 dumpster.Site Woric Permit for all new projects.A[I commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ««PROPERTY SURVEY required for alI NEW construction. <br /> Oirections:• <br /> Fill out applip6on completely. � <br /> Oxmer 8 Contractor sign badc of application,notar¢ed <br /> If over 52500,a Notice of Commencement is required. (AfC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)woutd be sameone with notarized letter from owner authorizing same �i <br /> OVER THE COUNTER PERMffT1NG (Front af Applicadon Only) <br /> Reroofs'rfshingles Sewers Service Upgrades AIC Fences(Plot/Survey/Foofagej <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />