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a��-�ao-oozo City of Zephyrhills Permit Applicatio FaX-e aooz� <br /> Building Department <br /> _ Date Recelved ,/ Phone Contad for Permittfn � L �S� — �� <br /> OwneY's Name L��Q IA � 1 U1S Owner Phone ' ��lJ��u�J <br /> OwnersAddress �l�� J�� ��nS l�� OwnerPhoneNumher <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��"�� S 1 l. � . LOT# "l V <br /> SUBDIVISION PARCELID# O�_ Zb r 2`�O��v O V � ��v� <br /> (OBTAINED FROM PFiOPERTY TAl(NOTIC� <br /> WORK PROPOSED e NEW cONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 2•�D��� y JO I \ O\ � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ +� �r_O.C� VALUATION OF TOTAL CONSTRUCTION <br /> .p <br /> QELECTRICAL $ �C��. �0 AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. / <br /> SS ��� <br /> PLUMBING $ y'�[/, �,�/ � � S`�n ,� <br /> � �J y��V�� JG�V <br /> ..�;-` �� � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��(� � <br /> 1�,J��d � <br /> QGAS Q ROOFING Q SPECIALN 0 OTHER G�""• " �/� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � ���V"" <br /> BUILDER t���COMPANY U��l�n S� l� SV C,i• � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 5 � � Q �� License# � ��! ! <br /> ELECTRICI y �� V COMPANY �r� � � <br /> SIGNATURE REGISTERFD Y/N FEE CURRE� Y/N <br />� Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERm Y! N FEECURREA 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 REGISTERm Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construc[ion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stortnwater Plans wl Siit Fence installetl, <br /> Sanitary Facilities&�tlumpster;Site Work Permit for subdivisions/large projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcction Plans,Stormvrater Plans wl Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requiremerrts must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "»PROPERTY SURVEY required for all NEW consWction. <br /> Directions: <br /> Fill ou[applicatian completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AlC upgrades over 57500) <br /> " Agent(for the conhactor)or Power of Attomey(for the ovmer)would be someone with notarized letter from ovmer autharizing same <br /> OVER THE COUN7ER PERMITfiNG (copy of contract required) <br /> Reroois if shingles Sewers Service Upgrades AIC Fences(PIoUSunrey/Footage) <br />, Driveways-Not over Counter if on public roadways..needs ROW <br />