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i ' <br /> e��-�aaoozo City of Zephyrhills Permit Application FaX-a��-�aaooz� <br /> Building Department � <br /> Date Received �- � phone Contad for Permitting — <br /> 1 1 1 1 1 1 1 1 1 1 1 � 1 � <br /> Owner's Name � 1 Owner Phone Number <br /> Owners Address � � l�.�V L(J c��' Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � JOB ADDRESS � � 4.1 CQ'( LOT# � <br /> SUBDIVISION PARCEL ID# � _ � ��1 —' � • 2 �� <br /> (OBTAINED FROM PROPERTY TAX NOTILE) <br /> WORK PROPOSED B NEW CON57R� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM 0 OTHER <br /> � TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK V1 � 1`� �1 I P�Q�S <br /> BUILDING ZE SQ FOOTAGE� HEIGHT � <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAI $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> �PLUMBING $ � Z� -/�� / <br /> !1/ / <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ���.�,I�r��_"'v('�i <br /> � l � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER l��1 �.� `� ( <br /> `.J /l.11 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO !��7 v <br /> 1 <br /> BUILDER ,�'�/�'C�� COMPANY �J U ��r J�v � � <br /> SIGNATUR V✓� REGISTERED Y I FEE CURRE� Y/N <br /> � address (.� ���� �Q, \ � ucense# 5 C G 1 3 11 S� 3 � <br /> IELECTRICIAN J'�� � � Lv COMPANY ' <br /> I SIGNATURE � aEcisTEttFD Y I N FEE CURREn Y/N <br /> Address License# <br /> ' <br /> PLUMBER COMPANY <br /> SIGNATURE �ctsT�xm Y/ N F�cuaaEn Y/N <br /> Address License# �� <br /> MECHANICAL COMPANY <br /> SIGNATURE REcis7FRED Y/ N FEE CIJRREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIillllllllltlllilllllllllltlltllllltllllllllllllllll � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new oonsWction, , <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w!Siit Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consWcGon. <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes 8 1 dumpster.Site Work 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 consWctlon. <br /> Directlons:' <br /> FII out application completely. <br /> � Owner&ConUactor sign 6ack of application,notarized <br /> � If over 52500,a Notice of Commencement is required. (A!C upgrades over$7500) <br /> " Agent(for the conlractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> i OVER THE COUNTER PERMI7TING (copy of contract required) <br /> ' Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> � <br /> Oriveways-Not over Counter if on public roadways..needs ROW � <br />