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� ' e��-�so-oozo City of Zephyrhills Permit Application FaX-s��-�aaooz� <br /> Building Department <br /> DateRecelved , "', 5� --� <br /> Phone Contact for Permitting <br /> .�.�_�..�.�..�_�.�._ ........ . _ . . . ._ �.�_�..j..� . <br /> Owner's Name V�11'� �{'� � '� `� �(�Owner Phone Number � ` ��� <br /> Owner's Address ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> , Fee Simple T(tleholder Address <br /> JOB ADDRESS �1� 3 1' O �L LOT� � <br /> SUBDIVISION e PARCEL IDN � — ' OJ <br /> (OBTAINED FROM PROPEFTY TAX NOT1C� <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH I <br /> INSTALL REPAIR i <br /> , PROPOSED USE Q SFR Q COMM � OTHER <br /> ' TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> ,. DESCRIPTION OF WORK J�Z � � 7� Y\ n � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $. VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> i , <br /> BUILDER � COMPANY YY�ar�p� t�iY Cpv���c���� �" �� <br /> SIGNATURE /�' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# C� �1� <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# I <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllltll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;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&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)compiete sets of Building Plans plus a LiTe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commeraal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over S7500) <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 PERMITTING (copy of conVad required) <br /> Reroofs'rf shingtes Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />