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s�saso-oozo City of Zephyrhills Permit Application F�-s�saao-ooz� <br /> Building Department. <br /> � ' - <br /> • Date Received � � phone Contact for Permittln � <br /> y,. ;. <br /> Owner's Name V \� �Qr�C�e.l� Owner Phone Num6er 1� `1�� p�Z 3 <br /> , Owner's Address ".7 Z�.Z. � ��. Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L�Z Z�5} v�' LOT# � <br /> SUBDIVISION I�e-GY t S� PARCELID# ` �Z�D�Z� OO��O'(wZOtl,-U�.�0 <br /> (OBTAINED FROM PROPERTY TAX NOTILE) <br /> WORK PROPOSED - e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIONOFWORK `�.�-\FW �VSO�C��SyS�� �` �1�� OI�I�` <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ O�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � �����i � c�� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �1 r <br /> BUILDER V COMPANY Y h hOI.I'�� S�v G�u�' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ZllZ.Z.� 2�lS0uf1� «.�J^ 4JC �(- License# �.G�',�5� /�� <br /> ELECTRICIAN � COMPANY G `i�V''v�4 ._L.1�G. <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address � � �v� License# 13t�t�35 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />, OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sitt Fence installed, <br /> Sanitary Facili[ies&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMR 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 applicatlon,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgredes aver$7500) <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 PERMIITING (copy of contract required) <br />, Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />