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e�aaeaoozo City of Zephyrhills Permit Application Fax-s��-�aaoo2t <br /> Building Department <br /> Date Received phone Contact for Pertnitting - <br /> Owners Name � ner hone Num J5z�42Z��'9 j. <br /> Ownefs Address 3 �� �GL('� �• � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TlUeholder Address <br /> JOBADDRESS 3 l I� OUr Y` LOT# � <br /> SUBDIVISION PARCEL ID# �Z'Zb�z l "0�30 -OD l OQ �D090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSiR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> 7YPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ����r'�� ~ � � �� ����' � �� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ -la D� 0� ��(��- � j � /n���� <br /> � �a�- � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> IXLGAS Q ROOFING Q SPECIALTY Q OTHER '�" (—/' — r�/n <br /> �— �n�8i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �� Y� <br /> / <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE ��i{STERED Y/ N FEE CURREN Y/N <br /> �� <br /> Address License# <br /> OTHER COMPANY C�asti-Y,as�ers �-nC • <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ��rJ �� �e. `T 336 o License# C��.3_]�bs <br /> IIIIIIIIIIIIIIIIIIIIItllllllllllllllllllltlllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(7)set of Energy Fortns;R-0.W Permit for new consWction, <br /> Minimum ten(10)woricing days after submittal date. Requfred ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisians/large projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(7)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1 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 construction. <br /> Directlons:• <br /> Fill out application completely. <br /> Owner&ConVactor sign back of applicaGon,notarized <br /> If over$2500,a NoUce of Commencement Is requlred. (AIC upgrades over$7500) ' <br /> " Agent(far lhe conVactor)or Power of Attomey(far the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIll1NG (copy of wnVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br /> , + <br />