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s�s-�eaoozo City of Zephyrhills Permit Application F�-e��-�eaooz� <br /> Building Department <br /> � • Date Reeeived Phone Contact for Permitting <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owners Name tr �� L, � Owner Phone Number ��'"�,l7'�Z�G� <br /> Owners Address �Z CJ �,/� �,S Owner Phone Number <br /> � <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> FeeSimpleTitleholderAddress 2 � �� '(��� <br /> JOB ADDRESS � 3 � � ►y1 �� LOT# � <br /> SUBDIVISION PARCEL ID# �I'� —Z.�'r���d��2�w Q��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED e N TALLSTRe REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED U5E Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK C �� 3'CVY� f�Lf C�`� �n��r' <br /> BUILDING SI2E S�FOOTAGE 1�� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION 'i <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �IECHANICAL $ ��c, VALUATION OF MECHANICAL INSTALLATION <br /> �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY S Y � On� ����nC- <br /> SIGNATURE REGISTERED Y/ N FEE CURREf� Y/N <br /> F�. l � <br /> Address �V° \ � �, License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuwtEn Y/N I <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111 <br /> RESIDENTIAI. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set oi Energy Fortns;R-O-W Pertnit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constnaction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster Site Wark Permit tor 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 consVuctlon. <br />, Dlrectians:• • • • • • • • • • • I <br />� Fill out application completely. <br /> i Owner&ConUactor sign back of application,notadzed � <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades aver$7500) <br /> " Agent(for the contractor)or Pawer of Attomey(for lhe owner)would be someone with notarized letter from owner aulhorizfng same I <br /> OVER THE COUNTER PERMI171NG (copy of cont2ct requiredj � <br /> Reroofs if shingles Sewers Service Upgrades A1C Fences(PIoUSurvey/Footagej <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />