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e��-�eo-oozo City of Zephyrhills Permit Application Fax-a��-�eo-ooz� <br /> Building Departrnern <br /> 1 I Date Received �p� � / 6� ` <br /> I Phone CoMact for Pertnitting � J � — � �� 1 <br /> 1 1 1 1 1 1 1 1 1 1"7 1 1 <br /> Owners Name J`r�+� I`�' �(>G ,J ra.,J Owner Phone Number �j �3�Z—.�� %3 <br /> Owners Address J �/d � ��` ���� Owner Phone Numbar <br /> Fee Simple Titleholder Name Owner Phone Number <br /> IFee Simple TiUehoider Address <br /> I JOBADDRESS ��Z�d� �� �GJG�„ LOT# � <br /> ISUBDMSION PARCEL IQ/F I Z`�i(�'�Z J �Q �},j-Q�Q V��--(,� <br /> (067AINED FROM PROPER7Y TAX HOl10E) �� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> � TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIP710N OF WORK �e I (,� t ] �+ L_7.-y �—�b 6 Y�.. '� �y4"CJ PC� �n,1�/�d <br /> � <br /> BUILDING S¢E SQ FOOTAGE ��� HEIGHT � ��r� <br /> �BUILDING $ �)D e� VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ���� <br /> , QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> i <br /> ' QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � �O�MppNy ���dlG�`/�/,S��t/Ut'J/�G'+� <br /> SIGNATURE REGlsreaeo Y/ N FEE CURREA Y!N <br /> ,aaa�s IoN// i ,h,�i��33���# GfyG�5 5'�;r <br /> ELECTRICIAN COMPANY ' <br /> SIGNATURE r�cis�t�o Y/ N F�curtREn Y/N <br /> Address Llcense# <br /> PLUMBER COMPANY <br /> SIGNATURE a�GlsT�n Y/N F�cuw�t. Y/N <br /> � Address <br /> License# <br /> MECHANICAL COMPAWY <br /> SIGNATURE REGISTERED Y/ N pEe cURr�n Y/N <br /> �d� License# <br /> OTHER CpMppp�y <br /> SIGNATURE REGISTERED Y/ N FEE cUwtEn Y/N <br /> Address License# , <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllltlllllllllllltll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plens;(1)set of Energy Forms;R-0-W Pertnit for new consWction, � <br /> Minimum ten(10)working days after submittel date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence insfalled, <br /> I Senitery Facilkies&1 dumpster,Site Work Permit for subdivisionsllarge projects I <br /> � COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Satety Page;(1)set of Energy Fortns.R-O-W PertnR for new construction. j <br /> ' Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence instelled, � <br /> i Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance 1 <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> � ""PROPERTY SURVEY required for alI NEW construction. <br /> D�reet�ons:• <br /> Fill out application completely. <br /> Oxmer&Cantractor sign badc of appficadon,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power oFAttomey(for the owner)wauld be someone with notarized letter from owner authorizing same <br /> OVER iHE COUNTER PERMITTING (copy oi contract required) <br /> Reroofs if shingles Sewers Service Upgredes A/C Fences(PlotlSurveylFootage) <br /> � DHveways-Not over Counter iF on public�adways..needs ROW <br /> I <br /> � <br /> ., I <br />