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a��-�so-oozo City of Zephyrhills Permit Application F�-si�-�eaoozi <br /> Building DepaAment <br /> Date Received phone ContactforPermitting — <br /> 7-T TI -1 <br /> Owner's Name er�e Z Owner Phone Num6er ��3"p � ''7�0 0 <br /> Owner's Address ��ZY� ��� W��C �I� Owner Phone Number <br /> nc 4G <br /> Fee Slmple Tltleholder Name � Owner Phone Num6er <br /> Fee Slmple Titleholder Address <br /> JOBADDRESS �p� T�v'e LOT# o�l <br /> SUBDIVISION � ���� � PARCELID# 0��0`o�I�OO�{U`�0��� '��U'3 <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br />' WORK PROPOSED e NEW CONSTR e 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 0 STEEL Q <br /> DESCRIPTION OF WORK �`Q�OU �� 1 - <br /> BUILDING SIZE �Q O� SQ FOOTAGE HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ' O. O� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br />' . QPLUMBING $ � � <br /> �/� <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � �(/ � <br />' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br />�I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY 'Q��Z7 I �G <br /> SIGNATURE � REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit tor new cons[ruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsRarge proJects <br /> COMMERCIAL Attach(2)complete sets of 8uilding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&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 construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over SZ500,a Notice of Commencement Is requlred. (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 PERMITf1NG (copy of contract requ?red) <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />