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a13-7eo oozo City of Zephyrhills Permit Application Fax-613-7"21 <br /> Building Department Date Received Phone Contact for Permittin —/ i ` Z t, <br /> Ownees Name �p o R.(v Owner Phone Number ! ^7 7��d7 <br /> Ownees Address 5Z74 f.�CJcZ� I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> r^ <br /> JOB ADDRESS (( p� � p_ { LOT# <br /> SUBDIVISION i PARCEL <br /> IMAINED FROM MOPRAW TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFA = COMM r--1 OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK ab 6�Y1 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL s AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION / <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURM Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURREn L2LN <br /> Address ryk License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y 1 N FEE CURREn I YIN <br /> Addrasa �)D u License 0 1 L/Z '9 <br /> MECHANICAL COMPANY .. <br /> SIGNATURE I REGISTERED I Y i N FEE CURREA Y 1 N <br /> Address License# <br /> OTHER FCOMPANY <br /> SIGNATURE REGISTERED I Y i N FEE CURREn Y/N <br /> Address License# <br /> Illlltlitilllllllifllllllllltllllllllllllltllllllllllllllltlllltlll <br /> RESIDENTIAL Attach(2)Plot Plans:(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Permit for new Construction, <br /> Minimum ten(10)worfcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sin Fence installed, <br /> Sanitary Facilities&1 dumpsler,Site Work Permit for eubdivisions/Iarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onslle,Construction Plans,Stotmwater Plans w/SIR 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.Plans. <br /> PROPERTY SURVEY required for ail NEW construction. <br /> 6lnetlona: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application.notarized <br /> K over$2500,a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(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 AJC Fences(Piol/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />