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' ' -:� a�a-7aaoo2o City of Zephyrhills Permit Application Fax-81�78Q0021 , <br /> Building DepaRment � <br /> `� Date Received � phone Contact for Pertnittin � _� � I� <br /> Owner's Name �l. � "4C�U'� �k �r r (� C Owner Phone Number � <br />� Owner's Address ZW� T I �� � 3c�4 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br />' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ��'�•� ' h h"d15 F 33� 2 LOT# � <br /> SUBDIVISION PARCEL ID# �d�2.�9"2�'C�jlO- �Z�7"�,`�Qa O <br /> (OBTAINED FROM PROPERTY TAX NOTIC� � <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br />� � INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> . DESCRIPTION OF WORK -[ d t S �CYYI <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ (�S�% VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ���t <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � " � <br /> FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA QYES NO � <br /> I <br /> BUILDER � �O� � COMPANY �GUI SCn� �CQ;"1� <br /> SIGNATURE � REGISTERED N FEECURRE� N <br />�I Address 0��� Q�� �IU �etn[ �� I License# C 58►3�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Addrass License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />, Address License# <br />� MECHANICAL COMPANY <br /> ii <br /> SIGNATURE REGISTEREO Y/ N FEECURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTFRE� Y/ N FEE CURRQ� Y I N <br /> Address License# <br /> � � � � e � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � i � � � � � � � � <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 subdivisions4arge projects <br /> COMMERGAL Attach(2)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 aRer 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 maet compliance <br /> SIGN PERMIT Ariach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contrector sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$750U) <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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />