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813aao-ooza City of Zephyrhills Permit Application Fax-B13asaoa�� <br /> R _ �. � Bullding 4epattment <br /> Date Recelved Pha�e-Contact for Permitting — <br /> Owner's Name �. f !J'�' �i� ��c X S�'2�/t CG Owner Phone Number S13 ''Sfu7— f 2�� <br /> Owner'sAddress ��°Z'�- ��" ��'��� Owner Phane Number � � <br /> Fee Slmple Tltleholder.Name �— � Owner Phone Number � � <br /> Fee Simple Tltleholder Address <br /> JOB AUORESS LOT# C� <br /> SUBDIVISION �� � PARCEL ID# <br /> (QBTAINED FROM PROPER'[Y TAX NQSICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SiGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED t1SE , Q SFR [� CC1MM � OTHER <br /> TYPE OF CONSTRUC710N . Q BLOCK � [� FRAME [� STEEL Q <br /> 4 <br /> pE3CRIPTION OF WORK 1�Nf�O RrE 2Y sIG—�t1.4 C�C � (3r4C ovW s> <br /> BIiiLDING SIZE �� � SQ FOO7AGE�� HEIGHT �_ � <br /> -��:T�;�. <br /> BUI�DING � � VALUATION GIF TOTAL CONSTRUCTION <br /> QELECTR1CAl ($ —� AMP SERNECE Q PRQGRESS ENERGY Q W.R.E.C. <br /> �� <br /> QP�UMBING � � <br /> QMECHANICA�. $ VALUATtON OF MECHANtCAL.INSTAI.LATIC}N ���� <br /> �1 <br /> �c�s Q ROOFl3tiEt^a � s��c���nr 0 iJTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA [�YES NO <br /> S G'ATURE ��.....i"' ..._—�—�. COMPANY� <br /> REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address llcense# I � <br /> EI:ECTR(CIAN ., COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUftF2E� Y/N <br /> Address � License# � <br /> PLUMBER � � COMRANY ' <br /> SIGNATURE � REGISTERED' Y/ N FEE CURRE� Y/N <br /> Address .License# � ' � <br /> MECHAN1ClU. - COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> OTNER COMP�WY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y�/N <br /> Address License# �� � <br /> RESIpENT1AL Attach(2}P1ofPla�s;{2}sets of:Buildii�g Plans;{1)set af Energy��orms;�F2-O-W Permit for new construction,_ <br /> Minimum ten_(10),workfng;days.after.".subrriittai date. Required onsite,ConstrucUan Plans;Stomnwater'Plans w/Silt Fence installed, <br /> Sanffary FacElitles,&:1 dumpster Site Work=Permit for subdiVisfonsflarge projecis <br /> COMMERCi1U. Attach{3}camplete sets af Suitdirig Plan's plus a l.ife Safety Page;(1}set of Energy Forms.R Q-W Permit For new canstruc�tion. <br /> Minfmum ken(10)working days after submittal date. Required onsite,Constructlan Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.5tte Work Permtt far aEi new pro�ects.R#i cammerciai requirements must mest compffance <br /> StGN PERMIT Attach(2j sets af Eogineered Plans. <br /> ""«PROPERTY SURVEY required for all NEW canshucBan. <br /> Directtans: <br /> Fill out applicadon completely. <br /> Owner&Confractor sEgn back of apptica�on,natarized <br /> If over 5�500,a Notice of Commencennent is required. (A/G upgrades over 57500) <br /> " Agent(for the contractorj or Power of Attomey(for the owner}would be someone with no'tarized letter from owner aufhodz4ng same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Rerool's if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not aver Counter if an pubOc roadways..needs ROW <br />