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_ e��-�so-oo2o City of Zephyrhills Permit Application Fax-e��-�eo-ooz� <br /> � ' Bulding Departrnerrt <br /> Date Received �� � phone Contad for Pertnitting ( u <br /> 1 1 1 1 1 1 1 1 1 � 1 1 1 <br /> Owners Name Owner Phone Number Q ` '� <br /> D <br /> Owners Address ' Owner Phone Number <br /> Fee Simple Tilleholder Name �1"� Owner Phone Number <br /> Fee Simpte TiUeholder Address � <br /> JOBADDRESS 1 LOT# I I <br /> SUBDMSION PARCEL IDA ' V 1 <br /> (OBTAINm FROEA PROPERTY TA7C NOTICE) <br /> WORK PROPOSED � NEW CONStit e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL � <br /> DESCRIPTION OP WORK V� <br /> + � ^�7� <br /> BUILDING SIZE l X 1 SQ FOOTAGE HEIGHT <br /> �BUILDING $ , � VALUATIONOFTOTALCONSTRUCTION ��U� <br /> c <br /> �'�LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.RE.C. <br /> PLUMBING $ �/_ �a�� <br /> lSC � <br /> tECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED ROOR ELEVATIONS FIOOD ZONE ARFA QYES NO ' <br /> I <br /> BUILDER •COMPANY• -'-� •- Ivl 1"'�� L V lC• I <br /> SIGNATURE r�cis�rim Y N �cuRaEw N <br /> Address � License# � <br /> ELECTRICIAN COMPANY C�LLrI I��l� <br /> SIGNATURE r�cisr�EO N �cutu�N Y N <br /> Address J License# 'W�� <br /> PLUMBER COMPANY '�/l 1� � <br /> SIGNATURE r��isrErtEO Y N �cuar�a Y N <br /> Address License# (� <br /> MECHANICAL C�L/��'�-�. COMPANY S �� <br /> SIGNATURE r�cisr� N �cu� Y N <br /> add� S � u��# <br /> OTHER COMPANY <br /> SIGNATURE r�cisr�EO Y/N �cuw� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bu�ding Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Minimum ten(10)worldng days after subm'dtal date. Required onsite,Construction Pfans,Stortnwater Pians w/S�lt Fence inslalled, <br /> Sanitary Facilities 81 dumpster;Site Wodc Permk for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set oF Energy Fortns.R-0-W Pertnft for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Pians,Stormvrater Plans w/Sitt Fence Installed, <br /> Sanitary Facilides 81 dumpster.Site Work Pertnit 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 consWction. <br /> Directions:• � <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of appGcation,notadzed <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractar)or Power of Attomey(for the awner)would be someone with notarized letter from awner authorizing sarne <br /> OVER THE COUNTER PERMIII'ING (Front of Applicatian Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />