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� ei�-�eaoozo City of Zephyrhills Permit Application F�-a��-�saooz� <br /> Building Department <br /> , DateReceived s 9�j 9Pj? <br /> Phone Contactfor Permittin <br /> Owner's Name U(S (../I{2/S /�/�C/N/ Owner Phone Number IfV�"�� ' d <br /> I OwnersAddress (p �� �1���CIL�S]r KJ OwnerPhoneNumher <br /> Fee Simple Titleholder Name ���� Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS V LOT# � <br /> SUBDIVISION ��I���ES� r5/�S PARCELID# ��� C�Z�V`6dUb��O J�� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q ' <br /> DESCRIPTION OF WORK � ��-�Z�b�v��'o�L7JGU� �—£�CFiwr� S�¢�� <br /> BUILDING SIZE SQ FOOTAGE �I b f L! [T� HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTIO� 3'G7�� w <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �����* <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �G� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY 1� �J b� I�E NC� <br /> SIGNATURE rtEGiSTettE� Y/ N FEE CURRFI. Y/N <br /> Address 1� L�O�F'}h� �2 �£S� t.h r L License# (J � V <br />' ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�GISTEaEo Y/ N �cur�En Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERm Y/ N FEE CURREt� Y/N <br /> Address Llcense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllll <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Pians;(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,Stormvrater Plans w!Silt Fence instatled, <br /> Sanitary Facilities 81 dumpster;Site Work Pertnit far subdivisfonsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Buitding Plans plus a Life Safety Page;(i)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence inslalled, <br /> Sanitary Faciiities 8 1 dumpster.Site Work Pertnit for all new projeds.Ail commeraal requirements must meel compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application comptetely. <br /> Owner&Cantractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(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 /> ( <br />