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i , <br /> � a�saao-oo2o City of Zephyrhills Permit Application FaX-a�a-�saoo2� <br /> ,�t Building DepaAment <br /> ,I <br /> IDate Reeeived r � phone Contactfor Permitting - <br /> TTT 1� <br /> Owners Name /-� � � 5 Ovmet Phone Number � <br /> Owner's Address � �� w�-'e J 'r Owner Phone Number <br /> Fee Simple Titieholder Name Owner Phone Num6e� <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS /'►'V / LOT# � ' <br /> Sl1BDIVISION PARCEL ID# II-�G '" � � I� d �� � <br /> (08TAINEO FFiOM PROPERTYTA%NOTIGE7 i <br /> WORK PROPOSED e NEW CONSTR e ADDIALT � SIGN Q Q DEMOLISH ' <br /> INSTALL REPAIR <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � S EE L Q <br /> DESCRIPTION OF WORK <br /> BUILUING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $�O � AMP SERVICE��v � PROGRESS ENERGY 0 W.RE.C. <br /> �PLUMBING $ <br /> OMECHANICAL S VALUATION OF MECHANICAL INSTALLATION '/% �-�� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER / )�[/� <br /> FINISHED FLOOR ELEVA710NS FLOOD ZONE AREA QYES NO -��Y� ; 7 <br /> BUILDER COMPANY <br /> SIGNATURE �c�srertEo Y/N FEE CURRE� Y 1 N <br /> Address License# <br /> ELECTRICIAN � COMPANY � �r.J�-� � �`�' <br /> SIGNATURE REGISTERW Y I N FEE CURRE� Y/ ' <br /> Address V � f ►'(•J�/Cz.� License# � � ; <br /> PLUMBER COMPANY � <br /> SIGNATURE REGI57ERED Y/N �cuw�en Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREt� Y/N , <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRQ. Y/N <br /> Address Llcense# � <br /> Illllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plo[Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new wnsVuction, <br /> Minimum ten(10)world�g days after submittal da[e. Required onsile,ConsW ctfon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sani�ary Fadlides&1 dumpster,Sile Work Permit for subdivisiansAarge pr�jects � <br /> COMMERCIAL Attach(3)comple[e sets of Building Pla�s plus a Life Safety Page;(�)set of Energy Fortns.R-O-W Permit for new consWction. <br /> Minimum ten(10)worlting days after submirial date. Requlred ansite,Construction Plans,Stormwater Pians w/Silt Fence fnstalled, i <br /> Sa�itary Faclities$'I dumpster.Site Work Pertnit fo�all new projec4s.All commerdal requirements must meet compliance , <br /> SIGN PERMIT Attach(2)sets of Engineeretl Pians. <br /> ""PROPERTY SURVEY required for all NEW construcdon. � <br /> Dlrectlons: , <br /> Fill out applica[ion comple[ely. <br /> Owner&CanVactor sign back of application,nolarized <br /> IF wer 52500,a Notice of Commeneement is required. (AIC upgrades over 57500) <br /> �' A98f1[(/Of Ihe L011tf2Ctof)Or Power of Allomey((or tha owner)would be someone with nola�ized letter f�m ovmar authoraing same <br /> OVER THE COUNTER PERMITTING (Front af Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />