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� a��-�saoo2o City of Zephyrhills Permit Application F�-e��-�aaooz� <br /> , Building Department <br /> _ Date Received Phone Contactfor Permitting <br /> �� <br /> Owners Name � Owner Phone Number <br /> Owners Address � L jU p/�O�mer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> IFee Simple TiUeholder Address <br /> JOB ADDRESS /� BLV✓ ��i RFI1CCs F/. 33sy/ LOT# � <br /> SUBDIVISION PARCEL IQf! <br /> (OBTAINED FROM PROPERTY TAX NOi10E) <br /> WORK PROPOSED e NSTALL�R B REPA RT � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK C c/ V � ����l� �/J G���/I► �+�M�G <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT C� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> G(/� V�`"/rl�' � <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r p � <br /> `0 Pi:�� �� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �►`� �Z� <br /> �J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY VW SwV/�V K7 �C <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�cis'rea� Y! N F�cUw�n Y/N <br /> Address License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE �cis�o Y/ N F�curx�n Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N �E cuwtEn Y!N <br /> Address License� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWcdon, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)sel of Energy Fortns.R-O-W Pertnit for new consfrucfion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&t 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 /> D�recLons:• <br /> Fill out applintion completely. <br /> Owner&Cantractor sign back of application,notarized <br /> If over§2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) <br /> iDriveways-Not over Counter if on public roadways..needs ROW , <br /> � " <br />