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s�sl�so-oozo City of Zephyrhills Permit Application F�-a�3aso-oo2� <br /> , Building Department <br /> Date Received <br /> I Phone Contact for Permitting � — <br /> Owner's tda e � ,L� � �� dv(G� Owner Phone Number . <br /> Owner's Add ess ! /�Z/ ,>/�1/C/� l./�C/iE Owner Phone Number <br /> Fee Simple T tleholder Name Owner Phone Number <br /> Fee Simple T tleholde�Address <br /> JOB ADDRE S `7''� S/�l��/L G��GG- LOT# � <br /> SUBDIVISIO PARCEL ID# �S;�/� � — �l9� " ���� 'f D�.� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPO.SED SE Q SFR Q COMM 0 OTHER <br /> TYPE�OF CO STRUCTION Q BLOCK • Q FRAME � STEEL Q <br /> DESCRIPTIO OF WORK �/���/� �/l�� �� ��/�/L �.�` /7�/1/j L�G'� S/�'I/���-f �O <br /> BUICDING SIZ SQ FOOTAGE�' HEIGHT <br /> �BUI DING $ ,r� �/0� � VALUATION OF TOTAL CONSTRUCTION <br /> o�-"� <br /> QELE�TRICAL $ AMP SERVICE � 0 PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLU BING $ <br /> QMEC ANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS �~ ROOFING Q SPECIALTY 0 OTHER i ��O p <br /> F I N I S H E D F L O R E L E V A T I O N S F L O O D Z O N E A R E A Q Y E S N O <br /> � � <br /> BUILDER COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> " s <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'. ` ' C�- COMPANY ��//� /��D�/�� <br /> SIGNATURE- REGISTERED Y/_N , . FEE CURRE�' Y,/N <br /> Address � v�� C:.3�� ��� Ci�%` License# ������0� <br /> - RESIDENTIAL . Attach�(2).Plot P.lans;(2)�sets of Building'Plans;(1)'seYofEnergy Fomis;R=0-W,Permit for new construction, � <br /> Minimum�ten.(10).working:iiays aftecsubmittal•date.`Required•onsite,Construction Plans,Sformwater Plans w/Silt Fence installed, <br /> ' �Sanitary.;Facilities,&.1�dumpster,Site_Work Permit:for.sutidivisionsAarge;projects � <br /> �_.COMNiERCIAL Attach(2)'corriplete sets`of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permif for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit fo�all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)seEs of Engineered Plans' ' <br /> � "'"PROPERTY SURVEY required for aILNEW..construction.. - <br /> Directions: . <br /> Fill out appli tion completely. <br /> Owner&Co tractor sign.back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for theI contractor)orPower of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUWITER'PERMITTING (copy of contract-required) <br /> - Re�oofs if shingleS Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways- ot over Counter if on public roatlways..needs ROW <br />