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/ <br /> s�3�saoo2o City of Zephyrhills Permit Application Fax-a��-�aaooz� <br /> Building Departrnent <br /> Date Received phone Contact for Pertnitlinq ��J F � �J _ 5�� j <br /> 1 1 1 1 1 1 1 � 1 1 1 i 1 'l \ <br /> Owne�sName � {\ OwnerPhoneNumber � -l���b' 9 a`f \ <br /> \ <br /> Owners Address 0 J � L 1� W �.l.11� 1\TV% l) Owner Phone Numher \ <br /> iFee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SO�a�d O� �� Z Il � S LOT# � <br />, SUBDIVISION PARCEL ID# � �- �-d� - ��+ (J��'���D <br /> �osrwr�n�eorn aaoPearv rax Nonc� <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br />' PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOqt Q FRAME Q STEEL Q <br /> DESCRIPTIONOFWORK R`E�. � L� � y TO� <br /> BUILDING SI2E SQ FOOTAGE HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br />' QPLUMBING $ ���q <br /> �MECHANICAL $�� " QD VALUATION OF MECHANICAL INSTALLATION �� <br /> (/, <br /> QGAS Q ROOFING Q SPECIALN Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTR�CIAN COMPANY <br /> SIGNATURE REGISiERED Y/ N FEE CURREN Y/N <br /> , Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGI5TERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL �'+'���1 �o� � COMPANY <br /> SIGNATURE � REc�s7eRE0 I N E W RR Y/N <br /> Address "7I� l: �P G g � f L License# C.�� �4�� J / 7 <br /> OTHER COMPANY <br /> SICNATURE ReasreRen Y/N FEE CURREN Y I N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wnrking days after submRtal date. Required onsite,ConsVudion Pians,Stormwater Plans wl SiR Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Permit fw subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Buitding Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for newcoretruction. <br /> Minimum ten(10)wnrking days after submittal date. Required onsite,Canstrudion Plans,Stormwater Plans w/Sitt Fence instaVed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requiremenLs must meet compliance <br /> SIGN PERMIT AVach(2)sets of Engineered Plans. <br /> •"•PROPERTY SURVEY required for all NEVV construdion. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contrador sign back of application,notar¢ed <br /> If over 52500,a Notice of Commencement is required. (AfC upgrades over 57500) I <br /> •• Agent(for the wntractor)or Power of Attomey(for the owner)would be sameone with noTar¢ed lette�from owner authorizing same i <br /> OVER THE COUNTER PERMITTING (copy of contrad require� <br /> Reroofs if shingles Sevvers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> DrivewaysNot over Counter N on public roadways..needs ROW <br />