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City of Zephyrhills Permit Application FaXsos-Tao-oo2� <br /> Building Department <br /> Date Received 5��r�1�0R.. �t1�>�•Cv� <br /> Phone Contact for Permitting q <br /> Owner's Name Owner Phone Number ?? <br /> Owner's Address � Jr 3 3 -Owner Phone Number . <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address . <br /> JOB ADDRESS �(�¢DfJ i✓ ,7 rv�r� VllB .�H �%�/ '. �- L T# <br /> SUBDIVISION � � Q44RCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION l_� BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 1 ^S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT —� <br /> [ZBUILDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> [ZfPLUMBING $ <br /> �� `-' <br /> EfTMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS rO` FLOOD ZONE AREA =YES NO _ <br /> BUILDER COMPANY C <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRER I Y/N <br /> Address -tIr- .• License# 1 9 C)�e 7�i <br /> _ o <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE t / REGISTERED / N FEE CURREN Y/N <br /> Address 06 : 3 License# <br /> PLUMBER. COMPANY S �!!\ <br /> SIGNATURE ''� � REGISTERED Y/ N FEE URREE /N <br /> Address rf e t License J CF-C,I I Z. - t3?` <br /> MECHANICAL COMPANY t- S <br /> SIGNATURE �r - REGISTERED /'N FEE CURREN Y I N <br /> Address `570 2 TSl,er License# CA U.)33 <br /> OTHER / COMPANY Y` b cA 6A <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 3 License# cc <br /> lifiliiiltiIi 'l III III IIII Oillli' ! IIIIIIIIIIIiIIIIIIiIiIIIIIIIIIIIIII ! <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)working days after submittal date. Required onsite,Construction Plans,5tormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1,dumpster;Site Work Permit for subdivisions/large projects J <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,'Stormwater Plans wl Sllt Fence'instailed-, <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.requlred.for all NEW construction. <br /> Directions: <br /> Fill out application completely.. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice.of Commencement is required. (Alc 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 AIC Fences(Plot/Survey/Footage)— <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />