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1 <br /> _ , a��-�so-oozo City of Zephyrhills Permit Application Fax-813-78a0021 <br /> J �' Building Department <br /> �' <br /> Date Received phone ContactforPermittin <br /> r <br /> Owner's Name � � Owner Phone Number <br /> Ownar's Address ��� � LY Owner Phone Number O J� a 3v"367 �I <br /> Fee Slmple Titleholder Name Owner Phone Number i <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS a y �� Q �V Y��e LOT# � II <br /> SUBDIVISION PARCEL IDl� I C�L P a L� <br /> (OBTAINED FROM PROPERTYTA%NOTICEJ <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME. 0 STEEL Q <br /> DESCRIPTION OF WORK Y(, 2� <br /> BUILDING SIZE ` �S� SQ FOOTAGE �J HEIGHT � <br /> QBUILDING $ �D �u 5 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I O 1 <br /> QGAS ROOFING Q SPECIALTY � OTHER //�✓�/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �f <br /> BUILDER COMPANY � ��� f Cu�'ru� <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address � 1l�1 �U(,l N S1 � 3��b License# C�� �3 / � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COA9PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> i111111t1111111111illllilllllllllltlllltlltllllllllllllllt1111111 �11 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence(nstalled, <br /> Sanitary Faciiities&1 dumpster,Site Work Permit for suhdivisionsllarge proJects <br /> COMMERCIAL Attach(2)complete sets ot Building Plans plus a Life Safety Page;(1)sel of Energy Forms.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construclion. <br /> Duections: <br /> Fill out application completely. <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over 52500,a NoUce of Commencement is requlred. (A/C upgredes over$750D) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)woutd 6e someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITI'ING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />