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y' 1 <br /> ' e�s-�eo-oozo City of Zephyrhills Permit Application F�-e��-�eaooz� <br /> Building Department <br /> i <br /> � Date Received phone Contact for Permlttin <br /> TT7-1-�-ITr- - <br /> Owner's Name r�� (� G(,/� Owner Phone Number O �� oL �- <br /> Owner's Address oC�� � ✓� {� Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �d LCL/lLf O I�Qi` Y- LOT# � <br /> SUBDIVISION � Gl V J PARCEL ID# 3 b�z 5-OaS�D-�b�o o-0 �l�U <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Q � l � G� �O D <br /> BUILDING SIZE S�F TAGE % -/ � HEIGHT � <br /> �BUILDING $�7 A�v`f,D VALUATION OF TOTAL CONSTRUCTION <br /> p��-/ <br /> Q ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> , Q PLUMBING <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` � C,� <br /> !`—v / <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � ��f��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> T J <br /> �.. /�� <br /> BUILDER �C MPANY PL �S /T I k� � � �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address � � ��V"�' r`� License# C���.-� �� 1 1{ <br /> (� /�-- � <br /> ELECTRICIAN OOMPANY D� I � (i��C <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address " ' � � License# ^� �, <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111 <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Buiiding Plans;(1)set of Energy Fortns;R-O-W Pertnit far new consWction, <br /> Minimum ten(10)working days after submirial date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence fns�lled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consVuclion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets oT Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (AiC upgrades over E7500) <br /> " Agent(for the contractor)or Power of Attorney(tor the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITi1NG (copy of con[ract required) <br /> Reroots if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> _ J <br />