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i at��saoozo City of Zephyrhills Permit Application Faxa���aaooz� <br /> Building Department <br /> . � <br /> Date Received Phone ConWct for Pertnitting ( ) <br /> � � � � 1 1 1 � � � 1 � � <br />, Owner's Name l7//} � Owner Phone Number <br /> Owners Address �5�� �-�/��( � /vJ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS �� l�n LL ��� "` LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDlALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM � OTHER L��' o � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK lJ-�'�Y w�rrn r {u- ���S Zr <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION � <br /> �ELECTRICAL $ 1�p"� AMPSERVICE 0 PROGRESSENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �(/ ���� <br /> OGAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ' <br /> ELECTRICIAN COMPANY �G� ��� L.�,Ja 1�s <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N �CYLI�/C/]L. 7�,J�,�, <br /> Address l�-��/�'S S?� ���'� License# �13 E70 S s s � ��C'�V �v�� """` <br /> PLUMBER COMPANY ���� ��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N P z� � <br /> Address License# �� <br /> MECHANICAL COMPANY pl� �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> •?,So 2c� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illlllllllllltlltltlllllttlllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsllarge projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnil for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projeds.All commerdal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contrador sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 PERMIlT1NG (copy of contrad required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(Piot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />