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e�saao-ao2o City of Zephyrhills Permit Application �� (�-'��-0o2i �� <br /> Building Department . Q ��� <br /> � Date Received `���`� <br /> Phone ContactfoiPermitting <br /> Owner's Name Owner Phone Number ��"1� � <br /> Owner's Address I � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS . � I�-I VI ' 1 � _ I I�J LOT# � <br /> SUBDIVISION � AS � PARCELID# ( ' '- -���1�; Q� <br />' /(OBiAINED FROM PROPERTY TA7C NO710E) <br /> WORK PROPOSED B NEW CONS7R e ADD/ALT � SIGN Q Q DEMOLISH, <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � l � <br /> I TYPE OP CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �-4��JI(�C..V� �W �'��� I I� � 1/ k�71-L 1 � � (yJG{,1� 1� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br />' OPLUM8ING $ / /, /'� /�C��� _ <br /> `J �7 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> a �� <br /> v <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER � �� , y�_ /! �_ �������� , <br /> ��(�t�s CJJ�C-L.__ /("`JY'_ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO n � <br /> ��' 1� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER ��� � COMPANY �ll GICn c� �m A `-� <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � ��V G � License# �����,` <br /> Illllllllllllltlllllllllllltlllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• j <br /> Fill out application complelely <br />, Owner&Contractor sign back of application,notarized r <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for ihe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW I <br />