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; sia-�aaoo2o City of Zephyrhills Permit Application Fax-813-7860021 <br /> Building Department <br /> Date Received ��J �p�. _ o q a o <br /> Phone Contact for Pertnittin <br /> Owner's Name C��n�i",�OY'►� 2COUQ�' • Owner Phone Number W� '�5 � �a(pp <br /> Owner's Address •�� �Q �Q� FL 3 3 D�-Owner Phone Number <br /> Fee Simple Titleholder Name N/� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S �(' ��d �� J LOT# � <br /> SUBDIVISION � ` , (�.C/J PARCEL ID# �oZ ' � ' �y-D ^ ���� �'a. <br /> (OBTAINED FROM PROPERTY TlJI NOTIC� <br /> WORK PROPOSED e nIEW CONS7R e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q 5FR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �1 3 I� �'/LO <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $T''�q C,O� VALUATION OF TOTAL CONSTRUCTION <br /> �7 0 V <br /> �ELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> QPLUMBING $ s/j // �/O <br /> �� � l0 <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ^ <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � � �� <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY .QY �1L,�U <br /> SIGNATURE REGISTERED Y/ N FEE Cll E� Y/N <br /> Address ,1 V �� �ST/ License# C C. �S$�> <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PIUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERE� Y( N FEECURRE� Y/N <br /> Address License# <br /> OTHER COMPANV <br /> SIGNATURE REGISTERED Y/ N FEECURREP Y/N <br /> Address License# <br /> � � � � � � � � � � � � � � � � � � � � � � � � � � i � � � e � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwa[er Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Si[e Work Permil for subdivisions/large projecls <br /> COMMERGAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/5ilt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requiremen[s must meet crompliance <br /> SIGN PERMIT Altach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencemenf is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey(Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> J <br />