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s��-�aaoozo City of Zephyrhills Permit Application FaX-s���ao-oo2� <br /> Building Departrnent <br /> Date Received phone Confact for Pertnitting <br /> � � � � � � � � � � 1 � � <br /> Owners Name l�V Q �Qlr .5 Owner Phone Number <br /> L. S � 4 <br /> Owner's Address Pl� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> /y i � <br /> JOBADDRESS / �/ LOT# <br /> SUBDIVISION PARCEL IDIt <br /> (OHiA1NED FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> '' � <br /> DESCRIPTION OF WORK � • �✓ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ �/ALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ / AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> I ��� <br /> � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � � <br /> � � . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGi57EREo Y/N �E cuRRen Y/N <br /> Address License�t <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE cUfutEn Y/N <br /> Address License� <br /> PLUMBER COMPANY I <br /> SIGNATURE rx�cls��n Y/ N �E cuw�En Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE r�c�s�aen Y/ N �cuw�en Y!N <br /> Address License# <br /> OTHER CI��Sd � � p vytY. COMPANY U C�/E— <br /> SIGNATURE r�cis�a�o Y/ �e cur�xen Y/N <br /> Address .Q • p / �/�/ License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111/111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new constniction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Starmwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Buitding Plans plus a Life Safery Page;(1)set of Energy Fortns.R-O-W Permit for new consWction. <br /> Minimum ten(10)working days after submirial date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Sile 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 construction. <br /> Directlons:• <br /> Fill out application completely. <br /> Owner&Cantractor sign back of applica6on,notarized <br />� If over 52500,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 someane with nofarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage) <br /> Driveways-Not over Counter'rf an public roadways..needs ROW <br />