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5 <br /> 813-��-� City of Zephyrhills Permit Application F�x$��-�aaooz� <br /> Building Departrnent <br /> � � <br /> Date Received phone Contact for Pertnitting - <br /> � � � � 1 � � 1 � � 1 7 � <br /> Owners Name L •� 1 C Owner Phone Number <br /> Owner's Addr�s `� 11 h Owner Phone Number <br /> FeeSimpleTiUeholderName � L " e OwnerPhonePJumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS q Y� �{ . LOT# � <br /> SUBDNISION ~ '��4 PARCELID# . CJ- 'Z "OQ '-GGO C�""I <br /> (OBT/UNID FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDJALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK c <br /> BUILOING S12E SQ FOOTAGE HEIGHT � <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> QPLUMBING S 1��� <br /> � �-Q� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /�T ��.� � �.�^ ` — <br /> U� n _ <br /> QGAS Q ROOFING d SPECIALTY Q O7HER � n,�-,���Qi` <br /> w d I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ���_/l�C J�' <br /> V 6 <br /> BUILDER � COMPANY <br /> SIGNATURE REc�5TFrtEo Y/ N FEE WRREN Y 1 N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RE(31STERED Y/N FEECURRFN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISfERED Y/N FEECURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SICiNATURE REOISTERED Y/ N FEECURREN Ylld <br /> Address Liceree# <br /> OTHER � COMPANY ��S S.G U'T I 1n� <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Adtlress 3 5 Z St'. �icense# l� �'d� � <br /> � � eti � toi� � � � � � � � � � � � � � � � � � �� � � � � � � � e � � � � � � � � � � � � s � � � � � � � � � e � � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for newconsUuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Cor�sWdion Plans,Storrtnvater Plans wl Sift Fence installed, <br /> SaniNary Facilities&'I dumpster,Site Work Permit for subdivisionsllarge projecLs <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)sei of Enargy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Car�struction Plans,Stormwater Plans w!SiR Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projec[s.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Poans. <br /> •"•PROPERTY SURVEY required for all NEW consWction. <br /> Directions:• <br /> Fill out application mmpletely. <br /> O�nmer&ConUador eign back of ap�'�cation,nohar¢ed <br /> If over$25�,a Notice of Com mencement is required. (A1C upgrades over 57500) <br /> •• Agent(for fhe contractor)or Pov�er of Attorney(for the ovmer)would be someone v.ith rrotarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs'rf shingles Sewers Service Upgrades A!C Fences(PIoVSurvey/Footage) <br /> Driveways-Not wer Counter'rf on puWic roadways..needs ROW <br />