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ea�-�eo-oozo City of Zephyrhills Permit Application FeX-e�saeaooz� <br /> 8uilding Department <br /> . ,� <br /> Date Received Phone ConWct for Permitting 9 "1 � ��'� <br /> -r�-rr-rr-r�� - <br /> Owner's Name ( ��l Owner Phone Num6er <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titloholder Name �— � Owner Pbone Num6er <br /> fee Simple Titleholder Address <br /> JOBADDRESS � � r � � LOT# a� � <br /> SUBDIVISION �� 1 l Cj PARCEL IDk L1�'��Q" — �` ' (� <br /> (OBTAINED fROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTAIL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER /'� <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCR1PTtON OF WORK •� f ^� <br /> BUtLDING SIZE S�FOOTAGE HE{GHT �� <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION`��p P,�—� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.- V` <br /> \�•y,���D.� <br /> QPLUMBING $ �� ���'' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> QGAS Q ROOFING Q SPECIALTI' 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Addrass Llcensa# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License tt <br /> PLUMBER w ,�"� REOG 9P RED �Y � Fee c�ua�n Y/N <br /> SIGNATURE 1 c <br /> Address �.Q�C ,P_—r � 1rr" Llcense# �� ��-� � (9 <br /> MECHANICAL COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuaRen Y/N <br /> Address License# I � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllllllll <br /> RESIDENTIAL Attech(2)Plot Plans;(2)sets of Building Ptans;(1)set of Energy Fortns;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plana,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitltfes&1 dumpster Site Work PertnN for subdivlsionsllarge proJects <br /> COMMERCIAL Attech(2)complete sets oi Builtlinp Plens plus e Life Satety Page;(1)set of Energy Forms.R-O-W Permitfor new consUuc6on. <br /> Minimum ten(10)working dsys eRer subm(ttal date. Raquired onsite,Construction Plans,Stmmwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities$t dumpster.Site Work Pertnit for all new projecls.All commercial requifements must meet compliance <br /> SIGN PERMIT Attach(2)sets oF Engineered Pians. <br /> •"'PROPERTY SURVEY required for all NEW constructfon. <br /> Oirectlons:• <br /> Fill out appflcatlan completely. <br /> Owner&Contraclor sign back of application,notarized <br /> N over$2600,a Natice of Comme�cement Is requlred. (A/C upgrades over$7500) <br /> '• Agent(tor the contractor)or Power of Attomay(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITI7NG (copy of coniract required) <br /> Reroots if ahingles Sevvere Serviee Upgredes A/C Fences(PIoUSurreylFaotageJ <br /> �riveways-Not over Counter If on public roadways..needs ROW <br /> I <br />