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si�-�eo-ooso City of Zephyrhills Permit Application F�-8���a°�°°2' <br /> Building Department <br /> Date Received Phone ConWCt for Permittin <br /> �r p <br /> Owners Name , �° I�Lt Ownx Phone Number � ' 0/.�a <br /> Ownels Address /� �� 5� Owner Fhone Number <br /> Fee Simple TitlehoWer Neme Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS U v � LOT # � <br /> sueav�saN �GrL N � (I � PARCELIDM OZ - 2!� O1�0- DOOOO -0��0 <br /> (OHfAIlED FROM PROPERiY TAX NOTCE) <br /> WORK PROPOSED e NEw CONSiR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> {P{STAII REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �wN� �� f � [�Y C Iw ' LF�S 4J1 p� Q riJ� <br /> BUILDING SIZE S� FOOTAGE �� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL 3 AMP SERVtCE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING ; <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /�� �� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY plS t1Qy �LItL �f _ � <br /> SIGNATURE REGISTEREO Y/ FEE CURRE� Y/ N <br /> Addreas .J/// P�oI � � License N <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cu�aEn Y/ N <br /> Addross License # <br /> PLUMBER COMPANY <br /> SIGNATURE r�cishr�D Y/ N �E CuRREn Y/ N <br /> Addross License # <br /> MECHAMICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Addnss License # <br /> OTHER COMPANY � <br /> SIGNATURE �cISTERED Y/ N FEE CuwxEn Y/ N <br /> Address License # � <br /> IIIIIIIIIIIIIIIIIIIi1111111111111111111111111111111111111111111111i <br /> RESIDENTiAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit fw new construction, <br /> Minimum [en (10) worlcing deys after submittal dffie. Required onsite, Constructian Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Faalities & 7 dumpster; Site Wak Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete s�s d Building Plans plus a Life Saf�y Pape; (1) set d Energy Fortns. R-0.W PermK for new canstrudion. <br /> Minimum ten (10) working days after submktal date. Required onsite, Constnx.tion Pl�s, Stortnwater Plans w/ Silt Fence instaHed, <br /> Sanitary Fadlities & 1 dumpster Site Wak Pertnit for all naw projeds. All oommeicial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required tor atl NEW construction. <br /> Directions: • <br /> Fill out application completey <br /> Owner & Contrada sign badc of application, ratarizad <br /> If over 5��, a NoUcs of CommencamsM is required. (AJC upprades over 57500) <br /> " Apent (for the corrtractor) or Power of Attomey (for ttie owner) woufd be someone with notarized letter from owner authoraing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs 'rf shingles Sewers Service Upgrades A/C F�ces (PIoUSurvey/Footape) <br /> Driveways-Not over Counter'rf on pubNc roedways..needs ROW <br />