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i <br /> t <br /> ' " � e��-�so-oozo City of Zephyrhills Permit Application F�-a��-�eo-ooz� <br /> ' • Building Department 1 r /'Q���/l�y ��r� / ��l� <br /> U f/�' nEU <br /> Date Received phone Contact for Permitting /'�i/ —�� <br /> Owners Name � � �l� Y�1 Owner Phone Number � <br /> Owners Address ��(�' � � � �er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS /1 � LOT# � <br /> SUBDIVISION �� PARCEL IDt� <br /> (OBTA{NED FR0611 PfiOPEfiT!TN7C NO�iCE� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � �/GYf <br /> BUIIDING S1ZE SQ FOOTAGE� HEfGHT � <br /> QBUILDING S D D j a� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � �O_` <br /> QMECHANICAL $ VALUA710N OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY r ' �Jl�) LL-G <br /> SIGNATLIRE REGI9TERED Y/ P1 FEE CURREi. Y J N <br /> Address � � � 3� �i License# ~� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREA Y/N <br /> Address License# <br /> PLUMBER COMPA4iY <br />' SIGNATURE REGISTERED Y! N FEECURREA 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 REGISTFRED Y/ N �e cuaRen Y/N <br /> Address License# <br /> IIIII1111111111111111111111111111111111i1i111111I111i1i1111tI111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)wortcing days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> SanRary Faalities&1 dumpster,Site Wor1c Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set af Energy Fortns.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)woTicing days afler submirial date. Required onsile,Construdion Plans,Stommatet Plans wJ Si11 Fence instafled, <br /> Sanitary FaciliGes 81 dumpster Site Work Peimit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required forall NEW consUuction. <br /> Directions:• <br /> Fill out application completely. <br /> i Owner 8 Contrador sign back of application,notarized <br /> If over y2500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " !{qent(for the contractor)or Power of Attamey(far the ovmer)would be someone wilh notar¢ed letter from ovmer authorizing same <br />, OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> i <br />