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s�3aeo.002o City of Zephyrhills Permit Application F�-a»-�eo-0oz� <br /> Building DepartmeM <br /> Date Received ,�Z�- Phone CoMad for Pertnitting ) — <br /> 1 1 1 I 1 1 1 � A 1 1 1 1 1 <br /> Owner's Name 1 V ' r l�I Owner Phone Number ' '� <br /> I <br /> Owners Address � Owner Phone Numher <br /> Fee Simple TiUeholder Name 11�'� Owner Phone Number <br /> Fee Simple Trtieholder Address �� <br /> JOB ADDRESS O U LOTA � <br /> SUBDMSION PARCEL ID#Z�'�`LI��-W`W-OlS�D <br /> (06TAINm FROES PROPERTY TAX NOTICE� <br /> WORK PROPOSED � NEW CoNSrn B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED 11SE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL � <br /> DESCRIPTION OF WORK [� �CX�X� W� <br /> BUILDING SIZE 1�` K � 1, SQ FOOTAGE �-1� HEIGHT � <br /> UILDING $ VALUATIONOFTOTALCONSTR�CTION ftri�l J� <br /> �'�� I <br /> �LECTRICAL $ AMP SERVICE Q PROGRE55 ENERGY � W.RE.C. <br /> UMBING $ � /L� <br /> ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �(� � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FlNISHED FLOOR ELEVAT10N5 ROOD ZONE AREA QYES NO <br /> BUILDER COMPANY V� <br /> SIGNATURE r�cisrmm Y N �cuw�u !N <br /> Address License# <br /> ELECTRICIAN COMPANY �1��Y✓lL, <br /> SIGNATURE r�c�siEftm Y N �cuw�+ Y N <br /> Address � J �Z� License# `L <br /> PLUMBER COMPANY QSI�F l Y �� �C <br /> SIGNA7URE r�cisr�m N �cuRREN Y N <br /> Address � � � License# � <br /> MECHANICAL COMPANY S C <br /> SIGNATURE r�cisr�m Y N �cuw� /N <br /> Address r Lice�e# <br /> OTHER COMPANY <br /> SIGNATURE r�cis�nm Y l N �cuaaeN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIItllllllllllllllllllllltlllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permi[for new constructian, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w!Silt Fence instalted, <br /> Sanitary Facilities&1 dumpster;Site Wark Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Fortns.R-0 W Permk for new consWdion. <br /> Minimum ten(10)working days aRer submittal date. Required onsite,ConsWctton Plans,Stortnwater Plans w/Silt Fence installed, <br /> San'dary Fadlities 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 ell NEW consWctlon. <br /> DirecBons:• <br /> FII out applicadon completely. <br /> Ovmer&Contractor sign back of appGcation,notarized <br /> It over 52500,a Notice of Commencement is required. (A/C upgrades over 57�0) <br /> " Agent(far the contractor)or Power of Attomey(for the owner)wauld be someone with notarized ietter from owner authorizing same <br /> OVER THE COUNTER PERMffI1NG (Front of Application Onty) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Caunter if on public roadways..needs ROW <br /> . I <br />