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i� <br /> i I <br /> , � e��-�eo-oozo City of Zephyrhills Permit Application Fax 81&780-0021 <br /> _ • Building Departrnent <br /> Date Recelved Phone Contad for Pertnitting — <br /> ' � � � � � � � I ( �y � I � i � / <br /> Owner's Name i 1 Q- 1.��7� Owner Phone Number OI —I r <br /> Owners Address � V��14 a C�h� Qwner Phone Num6er <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple TlUeholder Address <br /> JOB ADDRESS � I LOT# T O�✓0 <br /> ' SUBDIVISION PARCEL IQN <br /> (OBTAINED FRON PROPERTY TA7C N0710E� <br /> WORK PROPOSED e NEW CON57R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q_ FRAME Q STEEL <br /> � � I C <br /> � DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> I QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I QPLUMBING $ <br /> I -� �� <br /> � '�MECHANICAL $ OO ^ VALUATION OF MECHANICAL INSTALLATION -- �� <br /> t <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I - <br /> i <br /> i <br /> i BUILDER COMPANY <br /> I SIGNATURE �cls�eo Y/ N �cuar�n Y/N <br /> � Address LJcense# <br /> I ELECTRICIAN COMPANY <br /> ISIGNATURE aEcisrEam Y/ N �E cuwiEn Y/N <br /> Address License# <br /> i <br /> r PLUMBER COMPANY <br /> ! SIGNATURE ReGlSieaID Y/ N FEE CURRE� Y/N <br /> Addreaa Llcensa# <br /> , i <br /> � MECHANICAL COMPANY n , � <br /> � SIGNATURE Reclsrertm FEE rtEn Y/N <br /> I <br /> Address n � �h��h I/�� License# �� �o s�� <br /> � OTHER COMPANY <br /> � SIGNATURE r�clsrenm Y/ N �curux�n Y/N <br /> I <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllltlllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sefs of Building Plans;(1)set of Energy Forms;R-O-W Permlt for new construction, <br /> Minimum ten(10)xrorking days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence instelled, <br /> Sanitary Fadlities&1 dumpster,Site Work Permit for subdivisfonsllarge projects <br /> , COMMERCIAL Attsch(2)complete sets of Buflding Plans plus a Llfe Safety Page;(1)set af Energy Fortns.R-O-W Permit tor new mnstruction. <br /> � Minfmum ten(10)working days aRer submittal date. Requlred onsite,ConsWction Plans,Stortnwater Plans w/Siit Fence installed, <br /> � Sanftary Facilitles 81 dumpster.Site Work Pertnft 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 /> i <br /> Dlroctlons:• <br /> Fill out application completely. <br /> Owner$ConVactor sign back ot application,notarized <br /> If over 52500,a Notlee of Commeneement is requlred. (A!C upgredes over 57500) <br /> '� " Agent(for the conVactor)or Power of Attomey(for the owner)would be sameone with nolarized letter from ovmer authorizing same <br /> , OVER THE COUNTER PERAAITfING (copy of contrad requlred) <br /> Reroofs if shfngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Caunter if on public roadways..needs ROW <br />