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� <br /> a��-�so-oozo City of Zephyrhills PermitApplication F�-s��-�aaooz� <br /> • Building Departrnent <br /> Date Recelved �a,_� • � Phone Contact for PermHting �� ��� _ /��� <br /> -I-iZ � / 1 <br /> Ovmer's Name P�'k h t �'1-d• Ov✓ner Phone Number <br /> Owner's Address d � � Owner Phone Numher <br /> Fee SlmpleTiUeholder Name Owner Phone Numher <br /> Fee Simple TNieholder Address <br /> JOBADDRESS Q C LOT@ � <br /> SUBDNISION PARCEL IDS ID"� - -���b-I� �-V O�� <br /> (OBTAINED FfiOM PNOPFJI7Y TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTAUCTION Q BLOCK Q FRAME Q STEEL Q - <br /> DESCRIPTION OF WORK TeLtr � !�i /{� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � � <br /> QBUILDING �'�\ <br /> o VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRI L $ AMP SERVICE Q PROGRESS ENERGY Q W . . ��� , <br /> � � ��QPLUMBING $ � <br /> QMECI-IANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � <br /> `� <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FlNISHEDFLOORELEVATIONS L L{,, FLOODZONEAREA QYES NO <br /> 1 P <br /> BUILDER �MPANY �� l� / <br /> SIGNATURE � REGISTERED Y 1 N FE URREN Y/N <br /> Address �£ ` O � License# �.(,l�j, �'�j� �U <br /> ELECTRICIAN COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREU Y/ N FEE CURREN Y I N <br /> Address License# <br /> MECHANICAL CpIWp/Wy <br /> SIGNATURE REGISTEREO Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address License# <br /> I 1 1 t 1 1 1 1 1 1 i 1 t 1 I I 1 I I 1 I t t 1 1 1 1 1 1 1 1 1 1 1 � I 1 I I t � 1 1 I 1 1 1 1 1 1 1 1 ! 1 I 1 1 1 1 t t 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(Z)sets of Building Plans;(1)set of Energy Forms;R-0.W Permit for newconstruction, <br /> Minimum ten(10)worldng days after submiiial date. Required onsite,Construction Plans,S[ortnwater Plans w/SiR Fence installed, � <br /> San'�ry FacilRies&1 dumpster,Site Work Permit for subdnrisansllarge pmjects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a�ife Safety Page;(1)set of Energy Forms.R-O-W Permitfor newconstruction. <br />� Minimum ten(10)v.orking days after submittal date. Required onsite,ConsVuc6on Plans,Stormwater Plans w/Silt Fence installed, <br />' Sanitary Facilities&1 dumpstec Site Work Permit for all new pmjects.AO commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '•"PROPERTY SURVEY required for all NEW consVuction. <br /> Directions:• , <br />� Fill out application completely. <br /> Owner&Contractor sign back of applicaUon,notarized i <br /> I(over$250q a Natice of Commencement is required, (A/C upgrades over$7500) ! <br /> " Agent(for the contractor)or PowEr of Attomey(for the owner)vwuld be someone with noNarized letterfmm owner authorrzing same <br /> OVER 7HE COUNTER PERMITTING (copy of contract required) <br /> Reroois if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not wer Counter if on public roadways..needs ROW <br />