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e��-�so-oozo City of Zephyrhills Permit Application F�-a��-�so-oo2� <br /> Building Department <br /> .i%` J <br /> Date Received phone Contact for Pertnitting <br /> _�_�_�_�_r�-_�._r — —T�T <br /> Owner's Name ` - C C°i Owner Phane Number <br /> Owners Address �Sr� � �'r '�� Owner Phone Number �"� � <br /> Fee Simple Titleholder Name /"� Owner Phone Number <br /> Fee Sfmple Titleholder Address <br /> JOB ADDRESS � <br /> ��� I '� � � 3��.t I 1 LOT# � <br /> SUBDIVISION PARCEL ID# 1 �����' � � � �.Tp 6 C"� ��o��C`���a 1e <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />� WORK PROPOSED B NEW CONsrR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK, Q , RAME Q STEEL Q <br /> DESCRIPTION OF WORK �O�'7 �f U� Q��'� �i'�Al� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C�.\� <br /> QPLUMBING $ �\ <br /> \ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> G� <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER •COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cUw�EN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER ' COMPANY LUI`1. LL�Q"71i�1'l , L C <br /> SIGNATURE ii�►- �` �cis��o Y/ N F�cuaa� /N <br /> Address � . tCL � 1`�������S�uce�se# �C�.. <br /> IIIIIillllltllllllllllllllllltllllll Iltllllllllllllllllllllllllllt <br /> RESIDENTIAL Attach(2)Plot Plans;(Z)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)woricing days after su6mittal date. Required ansite,Construction Plans,Stortnwater Plans w/Siit Fence installed, <br /> Sanitary Facili[ies&1 dumpster.Site Work Pertnit 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 /> L' L' �—: -LL- � <br /> Directlons:' <br /> Fill out appiication wmpletely. , � , <br />' Owner 8 Contractor sign back of applicaUon,notarized <br />' If over a2500,a Notice of Commencement is required. (AIC upgrades over�7500) * ,_ . <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (copy of conVad required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW I <br /> I <br />