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a��-�eaoozo City of Zephyrhills Permit Application F�-si�-�eaooz� <br /> Building DepartrneM <br /> Date Received Phane Confad for Permitting <br /> 1 1 1 1 1 1 1 1 1 1 1 1 � <br /> Owners Name Q i l t�GV1 J�(� Owner Phone Number p��J 3������ <br /> Owner's Address ���`� �Qf'�pl �V'� Owner Phone Num6er �3-3�a'�d rt+ <br /> Fee Simple Tltleholder Name Owner Phone Number O�3'�J�p�^�p a/ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� \ , LOT# � <br /> SUBDIVISION PARCEL ID# � U <br /> �osraNm�one PaoaEarvTax Nonc� <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED U5E Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK J-�-i v\C"Q- QL'�- G��\ �Q\��S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $� [' AMP SERVICE��� � PuVR�E9�ENERGY Q W.R.E.C. <br /> -' � � �1314�L4a- <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � f/ r�J � � !/ <br /> T�� � l <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY \� \O�n�'� � �`e L � <br /> SIGNATURE REGISTERED Y! N F cuRaEn Y/N <br /> Address � �J�. License# �� �U� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CLIRRE� Y I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new wnstruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&'I dumpster,Site Work Pertnitforsubdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Lite Safety Page;(1)set o(Energy Fortns.R-O-W Permit for new COnStRlCtlon. , <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities R 1 dumpster Site Work Permit 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 constructlon. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgredes over 37500) <br /> " Agent(for the crontractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact 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 />