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air7eaoo2o City of Zephyrhills Permit Application Fax-s��-�aaooz� <br /> - • Build'mg Departrnent <br /> ^_a2e 4ec�ived �� �� - �� <br /> PMne Cantad Tw Pumittin <br /> :-ra�-��� <br /> Owners Namc Urner Phone Numher ��,J� — ��. <br /> Owners Address � p� Ownet Phone Number <br /> Fee Sfmple Titl�hdder Name Owner Phone Number <br /> Fce Simple Titlehdder Addrnss <br /> JOB ADDRESS W LOT N � <br /> SUBDIVISION PARCEL ID�F <br /> �aeruwm a�r a�oPaeTv T�x wone� <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH i <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUGiION Q BLOCK Q FRAME Q STEEL � <br /> er�ov�, r r2.p�c:�e � c�5 �Mr191eS 'w ��rAber��+�e5 <br /> DESCRIPTION OF WORK <br /> BUILDING SI� SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUCTION� �'�$O�OO <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ V/LLUATION OF MECHANICAL INSTALLATION '� ��/ t" � <br /> QGAS I 7l1 ROOFING � SPECIAL.TY Q OTHER <br /> `�� �V- <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA �VES NO <br /> BUILDER :1lV� � CONPAHI' -4c �n�n � � <br /> SIGNATURE I '� ,�.. U�� r���,n Y/ N �curiqEn Y/N <br /> Address License# ��.�, � �J� <br /> E�EC7RICIAN CONPANY <br /> S16NATURE r��isie�o Y/ N rg curutEn Y/N <br /> Address License# <br /> PLUMBER CONPANY <br /> SiGWATURE REGISTERED Y! N FEECURI�� Y/N <br /> Address V�ense# <br /> MECHANICAL GpNpANY <br /> SIGNATURE r���rsm Y/ N �cuwzEn Y/N <br /> Address License 7f <br /> OTHER CONPANY <br /> SIGNATURE rtEs�siEaEo Y/ N �ctma�n Y/N <br /> Addrcss Licetise# <br /> 0111111tIt111111 � 1111 � 111111111111111111111111111111111111111111111 <br /> RESIDENiIAL Attach(2)Plot Plans;(2)sets of Bulding Pia�;(�)set of Energy Fwms;R-OW Permit fw new constru<Aon, <br /> Minimum ten(10)working days after submittal date. Requined onsite,CansWdion Plans,Startnuater Plans w/SiR Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit fw subdrvisions/4vge projects <br /> COMNERCIAL Attach(3)complete sets of Building Plars plus a Life Safety Page;(7)se[of Energy Fomts.R-O-W Pertnit for new crosW ction. <br /> M'viimum ten(10)Moric6�g days aRrr submittal date. R�qu"oed onsite,ConsUuction Plans,Stormwata Piaru wf S�lt Fertce instailed, <br /> Sarutary Faalities 8 1 dumpstec Site Work Pertnit far all new projeds.All cammerr�al requ'vements must meel compliance <br /> • SIGN PERNIT Attadi(2)sets of Enge�eered Plans. <br /> ""PROPERTY SURVEY repuired for all NEW construcfion. <br /> D�rect�w�s:• <br /> FiB aut appli�Gm completely. <br /> Owner 8 Contractar sign back of apptiration,notarized <br /> M over s25D0.a Noum or commercemeM is requlred_ (Ne upg►ades over S75D0) <br /> " Agent(for Ihe contrac[or)or Power of Attomey(far the owner)woutd be someone wiM notarized letter from aw�ws autharmng same <br /> OVER THE COUNTER PERNfiT1NG (Front af Appfiqtlon Only) <br /> ��voofs if shingles Sewers Service Upgrades A/C Fences(PbUSurvey/Footage) <br /> Driveways-Not over Counter if on pu6lic rosdways..needs ROW <br />