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i <br /> ai3-�saoozo City of Zephyrhills Permit Application Faz-613-780-0021 <br /> � Bullding Department <br /> Dale Recefved <br /> Phone Contacl for Permtttin <br /> Owner's Name � ��JO Owner Phone Number 7 <br /> Owner's Address Owner Phone Number � ' g <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOB ADORESS LOT 8 <br /> SUBDIVISION PARCEL IDIt ~ " .� r ^� �p' <br /> (OBiAINED FROM PROPERTY TAX NOTICEJ � <br /> VIIORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> 7YPE OF CONSTRUCTION � B�OCK Q FRAME 0 STEEL Q <br /> OESCRIPTION OF WORK �,� �a <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> QBUILDING 3 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRE55 ENERGY Q W.R.E.C. <br /> . OPLUMBING $ ����q—1 <br /> �/ V <br /> (� <br /> �MECHANICAL $� �BO VALUATION OF MECHANICAL INSTALLATION <br /> I QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />' Address License# <br /> MECHANICAL COMPANY /1 D <br /> SIGNATURE REGISTERED Y!'N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y I N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plol Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit tor new consWction, <br /> Minlmum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties 8 1 dumpster;S(le Work Permit ior subdivisionsflarge proJects <br /> COMMERCIAL Altach(3)complete sets of Bullding Plans pius a Life Safery Page;(1)set of Energy Forms.R-O-W Pertnit for newconstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanflary Facililies&1 dumpsler Site Work Permit for all new proJects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for ali NEW construction. <br /> Directlons: <br /> Fill oul appliption completely , <br /> Owner 8 Contractor sign back o(applicallon,notarized� <br /> If over 52500,a Notice ot Commenceme�t Is requlred. (A1C upgrades over 57500) <br /> " Agent(for ihe contractor)or Power of Atlomey(for the ovmec)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING , (Fiont of Application Only) � „ <br /> Reroafs if shingles Sewers � Service Upgrades A/C', ,Fences(PIoUSurvey/Footage) . , <br /> Ddveways-Not over Counler i1'on public roadways..needs ROW � <br />