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��J-IU4�VVl,V City of Zephyrhills Permit Appiication <br /> 1 I v� l vv � <br /> � Building Department � � �� � <br /> Date Recetved <br /> Phone Contact for Permlttin <br /> Owner's Name t� Owner Phone Number <br /> Owner's Address �I Ip 2 S EA G �E R o► �nch (2, -�1 <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Stmple Titleholder Address <br /> JOB ADDRESS 3 PjC� 00 2 Y� �1 �uG � <br /> LOT # <br /> SUBDIVISION PARCEL ID# � I� Z�v - L!-�O l0 Z O(o00 O z� � <br /> e (OBTAINED FROM PROPERTY T NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT SIGN <br /> INSTALL REPAIR � 0 MOVE DEMOLISH <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �E �p0 � � t � <br /> BUILDING SIZE SQ FOOTAGE ZJ�vOd HEIGHT <br /> Q BUILDING $ , <br /> 0� VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE � PROGRESS ENE Y [� W.R.E.C, <br /> � PLUMBING $ � <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [� GAS � ROOFING 0 SPECIALTY <br /> Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> BUI ' �� COMPANY 0..w� V G�10.-(JEr � Oo�vt 4 1� <br /> TURE ' REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # CcC��58 t 3 y <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SfGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SFGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address <br /> License # <br /> RESIDENTIAL Attac+� (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new constructlon, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plwns, Stormwater Plans / Silt Fen�e installed, <br /> Sanitary Facilities 8� i dumpster; Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach (3) sets of Buflding 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 / Silt Fence installed, <br /> Sanitary Facilities � 1 dumpster Site Work Permit for ali new proJects. All commercial requirements must me compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for ail NEW construction. <br /> Directio�s: <br /> Filf out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement ls required. (A/C upgredes over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing s me <br /> OVER THE COUNTER PERMITTING (Front of AppUcation Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />