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' s��-�ao-oo2o City of Zephyrhills Permit Application F�-e���aaoo2� <br /> Building Department <br /> / � <br /> Date Received phane Contactfor Pertnitting <br /> 1 � � � � � 1 � 1 � � � � <br /> Owners Name L 1' \ 1 ` Owner Phone Number <br /> Owners Address � `1 � a 2S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � 3� LOT# � <br /> SUBDIVISION 1�IQ PARCEL ID# ��7� ' � 1!� V� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CON57R e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> t , INSTALL REPAIR <br /> PROPOSED USE � ,0 SFR Q COMM � OTHER Q �"' <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��r ��� � �Y1��- aq� � ��� <br /> BUILDING SI2E SQ FOOTAGE �v� HEIGHT <br /> QBUILDING $ rya VALUATION OF TOTAL CONSTRUCTION ��J pC�,, �� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ /�O V� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � ` <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY O (�� V�-l_ <br /> SIGNATURE �Gis�� N e cuaaEn Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �cis�aeo Y/ N F�cur�aEn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGlsrertEo Y!N FEE CURREn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE cuRREn Y/N <br /> Address License# <br /> Illllllllllllllllllllllllllllllllllllltllllllllllltllllltllllllllll <br /> RESIDENTIAL Attach,(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Fonns;R-O-W Pertnit for new construction, <br /> Minimum ten(70)working days after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Farms.R-O-W Pertnk for new consWdion. <br /> Minimum ten(10)working days aRer 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 requireme�ts 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 applicetion completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A1C upgrades over 57500) <br /> " Agent(for the cnntractor)or Power of Attomey(for the owner)would be someone with notarized Ietter from owner author¢ing same <br /> OVER THE COUNTER PERMIll1NG (copy of contrac[required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSunrey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />