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� a��-�ao-oo2o City of Zephyrhills Permit Application F�si�-�aaoo2� <br /> Building Department <br /> Date Received phone Contact for Pertnittin <br /> � � �i�7� <br /> Owners Name e�"'� / V(�C�I' Owner Phone Number g J "��� <br /> �•, � g <br /> Ownere Address � � 1 YV1 �" �ryJ OWner Phone Num6er <br /> Fee Simple Titieholder Name Owner Phone Number <br /> Fee Simple TiGeholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDNISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � u0.� �'—�WT � 0. 3��'6'n �t►lyytp/1e (�' S , <br /> BUILDING SIZE SQ FOOTAGE� HEIGNT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��C6� o <br /> �MECHANICAL $ �� , o' VALUATION OF MECHANICAL INSTALLATION '` <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHEb FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N �Curtrt�n Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNA7URE r�GisrEr�o Y/ N �E cu�n Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGiS�rtEo Y/N �cuwtEn Y/N <br /> Address License# <br /> MECHANICAL COMPANY C=/1 LG �!/^ v� � � Q LL <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address , ��� u Ovl I��. LOO t7il�SAVJ� FL• ��S3Litense# �� ��2��i <br /> / <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuwtEn Y/N <br /> Address License# <br /> f11111111 [ If111 � 111 � 11111f111111111ff11f111f11f1111111I1ff11f11 � 111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bu�lding Plans;(1)set of Energy Fortns;R-aW Permit for new canstrucUon, <br /> Minimum ten(l0)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/S1t Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consWcGon. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans wl S�t Fence installed, <br /> Sanitary Faalities&1 dumpster.Site Wark Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constiuction. <br /> Direchons:• <br /> Fill out application completely. <br /> Owner$Contractor sign back of appiication,notarized <br /> If over 52500,a Notice of Cammencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner author'v.ing same <br /> OVER THE COUNTER PERMITfING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFaofage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />