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s�aaeo-oozo City of Zephyrhills Permit Application F�$��-��� <br /> Building Deparfinent <br /> Date Reeelved phone Contact for Permitting — <br /> 11�11111 �+ � I � It <br /> Oxmers Name R d�"�'Fr� � Owner Phone Number <br /> �-I�ma. , fa'F- <br /> Owners Address � 5 �� ��pOwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS V �I �J v � �� � � LOT� � <br />, SUBDIVISION PARCELI� ��r ��+�����'�d���� '� <br /> (OBTAINED FROM PROPFATYTAX NOTICE) <br /> WORK PROPOSED e NEW CON57R e AOD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUC'f10N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK r�\�Ca� `S `� C{�u I— � �F Y� �W <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1�ELECTRICAL $ � �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ n C��3 <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� " � `� J <br /> OGAS Q ROOFING Q SPECIALTY Q OlNER Ln �,� <br /> I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUIL�ER COMPANY � <br /> SIGNATURE REGISTERED Y/ N �cuRRen Y/N <br /> ' Add►ess Licerue# <br /> .!` ELECTRICIAN ' j COMPANY Ld� C� . P_ � <br /> SIGNATURE � REGISfFRFD Y/ N �cuR�h Y!N <br /> Address J�b ��•• • � 6� Licerue# C Da/ � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FE£CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNA7URE REGISTERED Y!N FEECURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1111111111111111 � 1111111111111111111111 �� 1111111111111 � 111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum len(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life SaFety Pape;(1)set of Energy Fartns.R-0-W PermR for rrew consWdion. <br /> Minimum ten(10)working days aRer submittal date. Required onsite,ConsWction Plans,Slortnwater Plans w/Silt Fern�installed, <br /> San"dary Facilities 8 7 dumpster.Site Work Pertnk for all new projeds.All commercial requiremeMs must me�compliar�ce <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion <br /> Dlrectlons:• <br /> Fill out application mmpletety. <br /> Omrer 8 Contrador sign badc of application,rrotar¢ed <br /> If over t2500,a Notice of Commencement is required. (AIC upgrades over=75�) <br /> " Agent(for the mntrador)or Power of Altomey(for the owner)would be sameone with notar¢ed letter from otimer authorizing same <br /> OVER THE COUN7ER PERMIT[1NG (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Sutvey/Footage) <br /> Driveways-Not over CouMer ff on public roadways..needs ROW <br />