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s�saso-oozo City of Zephyrhills Permit Application F�-ai�-�so-ooz� <br /> , : . Building Department <br /> Date Reeeived Phone Contact for Permittin <br /> Owner's Name .2� �Q 1 �' `0.sJ� Owner Phone Number O�J � �J ��3 <br /> Ownels Address J�� �1'� r < < �-("r$ l�� `1 f�V Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS � ! � �C.(G Q. S ' '`� `� ��'L LOT# � <br /> SUBDNISION �i vt,��Q,�$ V�4` PARCEL ID# D 3 r �lO r �� r ���� —d oQ Q�—�s7� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR' Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � l► Q- U� C�A OIJ�. \ 4 1 � J� ��I C�f �E� C�V` �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � �{�-(Z.Z'- l�OC'7 S S�0 <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ J ����j <br /> j„ � v <br /> �][JMECHANICAL $ ��+c� 0� VALUATION OF MECHANICAL INSTALLATION �� �, /J O'` <br /> ✓� � ��" � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 /> COMPANY tiJ�l A,f'LC� (� /�'L r ��C <br /> SIGNATURE '� 0��� REGISTERED Y/ N FEE CURREA Y/N <br /> address �� � �r� �or _ �-3�(vb`J �icense# � L� 3��O� <br /> OTHER C MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> Illlllltlllllllllllllllltllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;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 Facllities 81 dumpster,Site Work Permi[for subdivisions/large proJects <br /> COMMERCIAL Attach(2)complete sels 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,Stortnwater Plans 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)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FlII out applicalion completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commancement Is required. (A/C upgrades over E7500) <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 PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br />