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e��-�ao-oozo City of Zephyrhills Permit Application F�-e���so-ooz� <br /> Building Departrnent <br /> Date Received Phone Contact for Permilting �, <br /> Owners Name N�, Owner Phone Number <br /> Owners Address 5 O �• ST�E Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S ` • S�!� LOT# � <br /> ' SUBDIVISION PARCEL IQ# �I' (�-21� �o�� � O��QQ� Q 0 0� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CON57R e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTAIL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q'OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK (G�.7 ( � �-(�O� <br /> BUILDING SIZE SQ FOOTAGE ��l0 HEIGHT �1 1 <br /> BUILDING $ ��6 � 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 /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />' BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cURREn Y/N <br /> Address License� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�ctsrEa�n Y! N �cuw� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE t�cls�REn Y/ N F�cuR� Y/N <br /> Address License# <br /> onaeR COMPANY IAhd��,, I �F'l S �R.VLG�� <br /> SIGNATURE a�cis�� Y/ N �cuwtEN Y/N <br /> i Address � . � . �, V ,`�. License# � �s �� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111 <br />, RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction, <br />� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence(nstalled, <br /> Sanitary Facilities 8 7 dumpster;Site Woric Permit for subdivisionsJlarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consVuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />' Sanilary Facilities&1 dumpster Site Work Pertnit tor all new prajec[s.All wmmercial requiremenLs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for aIl NEW consWction. <br /> Directions:• <br /> Fill out appticadon completely. <br /> Owner&Contrador sign back of application,notarized <br /> If over SZ500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the conUactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorrzing same <br /> OVER THE COUNTER PERMITTING (copy of conVad 2quired) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />