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aia-�ao-oozo City of Zephyrhills Permit Application Fax-81&780-0021 <br /> , , 6uilding Department <br /> Date Received ���V � phone Contact for Permittin <br /> Owner's Name ��U�Y, l. ( Owner Phone Number <br /> Owners Address C�� �• Owner Phone Number <br /> Fee Simple TiOeholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS cJ �� �• �fl V �� LOT�! ��� � <br /> SUBDIVISION PARCEL ID# � D �a UI <br />� (OHTAINED FRON PROPERIY TAK NOTIL� <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR q�¢ <br /> PROPOSED USE Q SFR Q COMM � OTHER ���TI/ <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK l.� �V� � �l"O 1 V /�� ��� <br /> BUfLDfIJG SiZE 8Q FOOTAGE� HEIGHT � <br /> �BUILDING � �f��) �Q VALUATION OF TOTAL CONSTRUCTION F O��q'���C"E�����'� <br /> �e <br /> QELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q I�.� dABUI�p�N S �I <br /> PLUMBING $ C��OF ZEpH�TRlC COp�,a <br /> 0 I��� RHILLS ORDINANC� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' /!��f�� <br /> j l � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �EV/F� <br /> FINISHEDFLOORELEVATIONS FLOODZONEAREA QYES NO c/�On Dq�`� �,�i� <br /> �� , - ��� I� PHy,�\ �� <br /> 'r ��� ' 1�G• �NER'`��S <br /> ; <br /> BUILDER ��i� COMPANY <br /> SIGNATURE �e • REGISTERED Y 1 N FEE CURRE� Y 1 N <br /> Address 4�J e b i,U � License# Q � �a <br /> ELECTRIGAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREt� Y/N <br /> Address License# <br /> PLllMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTFRED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanilary Facilities&1 dumpster,Site Work Permil for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fortns.R-0.W Pertnit for new construaion. <br /> Minimum ten(10)working days after submittal date. ftequired onsite,Construction Pians,StormwaterPlans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back oi application,notarized <br /> If over$2500,a Notice of Commancement is required. (A!C upgradas over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone wi[h notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />