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e�a-�so-oo2o City of Zephyrhills Permit Application F�-a���so-0oz� <br /> Bupding Departrnent <br /> . , Date Reeeived ��2� phone Conffid for Permltin � — ✓�v✓ <br /> Ownels Name � Owner Phane Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholdar Neme Owner Phone Numtrer <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS � LOT� � <br /> SUBDIVISION PARCEL IQtF <br /> �oeran�o�eo�a a�ma�nrTaz xonc� <br /> WORK PROPOSED NEW CONSTH 8 ADDIALT Q SIGN �] Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q <br /> DESCWPTION OF WORK ( <br /> BUILUING SI2E S�FOOTAGE� HEIGHT � � ;/�(/.� � <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION � <br /> - QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ //l/ ���,+��6�,��� <br /> l% (J" p ,, <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �� `�.` n,�„\/�ny�j� <br /> �f'����i�l��r I a.�iv6iai <br /> D�ns p ROOFING Q SPECIALTY Q OTHER Q <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � Nv� <br /> BUILDER (J��� � (� 1� <br /> SIGNATURE HEcis�rtm Y/N �CuwtEt� Y/N <br /> Addreas ���� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �cis�aeo Y/ N F�cuaaen Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE rtEcls�t�o Y I N �cuwten Y/N <br /> Address ����$ <br /> MECHANICAL COMPANY <br /> SIGNATURE aEcisrer�n Y/ N F�cuw�n Y/N <br /> Address License� <br /> OTNER COMPANY � <br /> SIGNATURE r�cis�o Y/ N r�cu�En Y/N <br /> Address License� <br /> 111111111111111111111111111111111111111111111111111111111111111111 � <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Bullding Pians;(1)set of Energy Fortns;R-O-W Pertnit for new consUudion, <br /> Mlnimum ten(10)wartting days after submittal date. Required onsite,ConstruWon Plans,Stortnwater Pians w/Silt Fence fnstalled, <br /> Sanitary FaaliUes&1 dumpster,S(te Work Pertnit for suhdivisions/larga proJects <br /> COMMERCIAL Attech(2)complete sets oi Bulding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit far new construction. <br /> Minimum ten(10)working days after submittsl date. Required onsite,ConsWctlon Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanftery Fadlities&1 dumpster.Site Woric Pertnit for all new proJects.All commer�ciai requirements must meet complience <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Direetlons: <br /> FIII out epplication completety. <br /> Owner&Contractar sign badc af appGcation,natarized <br /> IT over 5260D,a NoUce of Commencement is requlred. (AIC upgrades over:7600) <br /> " Agent(for the coMrador)or Power oi Attomey(for tlie owner)vrould be someorte with rrotar¢ed letter irom oxmer authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />