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a�saso-oozo City of Zephyrhills Nermit Application raX-��s-��u-uuz, <br /> Building Department <br /> Date Received ' � <br /> Phone Contact for Permlttln — <br /> Owner's Name �1C�1� l P/ v w fQ Owner Phone Number <br /> Owner's Address 7 6 / �� I�f C h G7 P ��( � Owner Phone Number <br /> Fee Simple Titleholder Name r Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS / � b � �P�(;(nr.l �t CJ� /� ( (,� LOT # � <br /> SUBDIVISION `, {5�( (�v 'Te ��S , pARCEL ID# � ���� �'OiZD-odo� - p.�"ip <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �N (//(� � • r L J <br /> (�.� . / <br /> BUILDING SIZE ��SP1 FOOTAGE �z HEIGHT b r <br /> QBUILDING $�� �v VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY O W.R.E.C. <br /> OPLUMBING $ �` /�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> � t � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY Cv`l t , L��P <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address /.Sh c�j�a� (.srJ License # � —� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address Llcense # r <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilttles & 1 dumpster; Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach (3) 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, StoRnwater Plans w/ Silt Fence installed, <br /> Sanitary FaGlitles 8 1 dumpster. Site Work Pennit for all new projects. All wmmercial requirements must meet compUance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> �"*PROPERTY SURVEY required for all NEW construction. <br /> Dtrections: <br /> Fill out applicaGon completely. <br /> Owner 8 Con�ractor sign back of application, notarized <br /> If over s2500, a Notice of Commencement is required. (A/C upgrades over s7500) <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 PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />