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e��-�eo-oozo City of Zephyrhills Permit Application F�-a�aaaaooz� <br /> 8uilding Depertment <br /> ' , Date Recelved Phone Contact for Permitt(ng ' � � +��-'V <br /> -i-IT7-7-i-f T- - � <br /> Owners Name C Y'� Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Num6er <br /> Fee Simple Titleholder Address <br /> JOBADORESS l, �- • ;��5 � � LOT# � <br /> SUBDIVISION � 1 r C3 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NO CE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � 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 /> �� <br /> DESCRIPTION OF WORK � �( <br /> BUILD113G 51ZE SQ FOOTAGE FiE{GFfT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION � ''�,'��U . (�� y� <br /> ; � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � / <br /> QPIUMBING $ � • `� <br /> \V� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE RE�IsiERm Y I N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RE�IS7ERE0 Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUAABER A [/��� COMPANY �'�T 'k�r'd <br /> SIGNATURE ,/1 ,� c �"���_ REGI9TERED Y N FEE CURREP Y/N <br /> Addreas l.•1�: ` 1�'� —+� � 'lo� Llcense# �Wr �� � C9 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7ERm Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � � COMPANY � <br /> SIGNATURE RE�Is7eREo Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> IIIIIIIIIIIIIIIIIIIilllllllllllllllllllltllllllllllllllllllllllllll <br /> RESIDENTIAL Attech(2)Plot Plans;(2)sets of Building Plens;(1)set of Energy Fortns;R-O-W Pertnit for new constructlon, <br /> Minimum ten(10)working days afler submfttal date. Required onsite,Constn�ction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitery Facilftfes 8 1 dumpster;Site Work Pertnfl tor euhdivisionsllerge projects <br /> COMMERCIAL Attach(2)complete sets of Building Piens plus a Life Safety Page;(1)set of Energy Forrns.R-O-W Pennit for new consWction. <br /> Minimum ten(10)working days after aubmittal date. Raqulred ansite,Consirudlon Plans,Starmwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Sita Work Permlt for all new projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets oF Engineered Plans, <br /> `•'"PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• <br /> FII out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> IT over$2600,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> •• Agent(for lhe conVactor)or Power of Attomoy(for the owner)would be someone with notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERhRII"fING (copy of contract require� <br /> Reroofs if shingles Sewers SeMce Upgrades NC Fences(PIoUSurvey/Footagey <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />