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s�a-�eo-oozo City of Zephyrhills Permit Application F�-ei�-�eaooz� <br /> Building Department <br /> Date Received �' phone Contact for Permittin V <br /> Tf'r-"iZTTf- — <br /> Owner's Name -Q n �r n Q Owner Phone Number � — /�pZ—o�-(/� <br /> Owner's Address � �jj�')rf{� �(r. Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br />' Fee Slmple Titleholder Address <br /> JOBADDRESS �/!J D 1 6� . <br /> / � Y� L�T� � <br /> SUBDIVISION sl �V 2✓ v��S PARCEL IDq 03-a2 tn a!- d Io7Q�000(7b—/at-/D <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR B ADDlALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � X /J S Ye Q {�� <br /> BUILDING SI2E FOOTAGE �!/ HEIGHT � <br /> BUILDING f�/_` /_ VALUA ION OF TOTAL CONSTRUCTION <br /> LS(� tC� <br /> �ELECTRICAL $ A SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> , Q PLUMBI NG � <br /> �:/ �_ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ff a <br /> �fi� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER '"�% <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �l` /7�(�I � <br /> L ( <br /> BUILDER //�„ / COMPANY �'S �'f/Yl G� <br /> SIGNATURE 1 � ��i�/Gyv REGISTERED Y/ N FEE CURREI. Y/N <br /> Address (�j� � License# Ci � ! Y <br /> ELECTRICIAN COMPANY <br /> SIGNPTURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br />, MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />' OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIlillllllllllllllllllllltllllllllllllllllllllllllltllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit tor new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Stortnwater Plans w/Silt Fence ins�lled, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge proJects <br /> COMMERCIAL 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 after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. I <br /> ""PROPERN SURVEY required for all NEW construction. I <br /> D�rections:• I <br /> Fill out application completely. <br /> Owner 8 Conlractor sign back of application,notarized <br /> Ii over y2500,a Notice of Commencement is required. (A;C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Ariomey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />