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s��-�so-oozo City of Zephyrhills Permit Application F�-s��-�eaooz� <br /> , Building Department <br /> I Date Received 7 � ^+ , <br /> Phone Contact for Permitting (JdJ ) �[.�'� �_ Su� <br /> -rrrrr-rr-r --- rrrrr - <br /> Owner's Name � �L -�I�l]�f��� Owner Phone Number � ^ "N�J" 7�� <br /> Owner's Address �S Jl� �`�����'' '-�'\ � 2U Owner Phone Number <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �1 <1JCi��'R►V\� T 1� 2 1-l�U..�� 3cSvlZ LOTB � <br /> SUBDIVISION '�Ny12 ��'�-1L pARCELIDX O�-"�-Z`—�`tJv����0 "`�-�O <br /> (OBTAINED FFiOM PHOPERTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONS7R� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �N 1qY�C7�- OLS` <br /> BUILDING SIZE SO FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ ,��r,�.\ � VALUATION OF MECHANICAL INSTALLATION � �� �� � <br /> I�VU <br /> QGAS Q ROOFING Q SPECIALTY Q 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 CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY G���-c� Ati1Z CQNQ�TI O1�}��� <br /> SIGNATURE REGISTERED N FEE CURREA Y/N ' <br /> Address �51 �L SS 5� N1`A�U µ r` License# ��C.���77 6 <br /> OTHER COMPANY <br /> SIGNATUflE REGISTEREO Y! N FEE CURRE� Y/N � <br /> Address License# <br /> � iiii � � � � � � � i � iiiii � � � i � � � i � � � � � � � � e � � i � i � i � i � i � i � � � � � � � ii � o � � � � i � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o(Energy Forms;R-O-W Permit for new canstruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new canstruction. <br /> Minimum ten(10)working days aRer submittal date. Required onsfle,Canstruction Plans,Stormwater Plans w!Silt Fence installed, i <br /> Sanitary Facilities&1 dumpsler Site Wark Permit for all new projects.Aii commercial requiremeNs must meet compliance � <br /> SIGN PERMIT Ariach(2)sets of Engineered Plans, �I <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill oul application completely <br /> Owner&Cantractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement is required. (A/C upgrades over S7500} <br /> " Agent(for the coniractor)or Power of Attomey(for the ovmer)vmuld be someone with noterized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract requiredy <br /> Reroots if shingles Sewers Service Upgrades A!C Fences(PIoUSurveylFootage) <br />