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p '�'' R �"� 2 � City of Zephyrhills Permit Applicafion F�-a��-�eo-0oz� <br /> Building Department - <br /> Date Receivad <br /> �, Phone Contad for Permltting <br /> Owner's Narne Owner phona Num6er � �� <br /> , Ownbrs Address � Owner Phone Number �/� <br /> Fee Simple'fitleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# �� <br /> SUBDIVISIOI� PARCEL IQM ( ���(p � ^ �O�^�"�— �� <br /> IOB7AlNED F OM PROPERTY iAX N0710E! <br /> WORK PROf'OSED NEW CANSTR ADDfALT � SIGN Q Q DEMOLISH <br /> IM&FAL! 8 REPAIR <br /> PROPOSED JSE Q SFR Q COMM Q OTHER <br /> TYPE OF CON5TRUCTION Q BLOCK Q FRAME STEEL Q <br /> DEBCRtPTIOM pF WORK �Y'�_ � "Z� �� � <br /> Bt11LDING SIZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ y,R�URTfOMOFTQTRLCONSTRUCTION <br /> �ELF:CTRICAL $ � AMp SERVICE � PROGRESS ENERGY � WRE.0 <br /> �PWMBIN� $ <br /> QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> OGAli � ROOfING Q 6PEC#At.TY � OTHER <br /> FfNISHED FLOOR ELEVATtONS �� FLOOD ZONE AREA �YES NO <br /> BUILDER ^ COMPANY � <br /> S16NATURE � � REOISTERED Y/ N �curtrt� Y!N <br /> Address License # �� <br /> ELECTRICIAIN � COMPANY �— <br /> SIGNATURE Rccis�xEO Y/ N rg cuarxFr Y/ N <br /> Address ���� � �--� <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y l N <br /> Address License � �� <br /> MECHANICAL � COMPANY �— <br /> SIGNATURE aECfsi�xeo Y 7 N FEE CURREN Y/ N <br /> Addresa license # <br /> OTHER COMPANY �— <br /> SIGNATURE �cisrsqEO Y/ N F[-E cuaaEn Y/ N <br /> Add2ss iicense r� � <br /> IIIIIINIIIIIIl1111111111111111111111111i111111111tI11111111111I1I11 <br /> RESIOENTIAL Attach (2) Plot Plans; (2) sets of Buitding Piaru; (9 ) set of Energy Fortns; R-O-W Pertnit for new consUuUion, <br /> Minimum ten (10) worhing days aRer s�mittal date. Requaed wisi[e, Conshuction Plaru, Stormwater Plans w! Sitt Fence installed, <br /> Sanitary Facilities & 1 dwnpster, Site Work Pertnit for suLx!'rvisio�sllarge projecfs <br /> CON1trIfRC1AL Attach (3} complete sefs of 8uildnp �ans pfus a tife Safery Page; (i} set of Energy Forms. R-0 W Permh for new construction. <br /> Minimum ten (10) waicing days aRer s�mittal date. Required oruite, ConsWdion Plans, Stortnwater Pians w/ Sift Fence installed, <br /> San'Rary Facilities & � dumpster. Sfte Work Permit for ail new projeUS. Ali cmnmercial rec�irements must meet complia�ce <br /> SICaN PERMIT Attach (2) seis of Engirreared Pl�s. <br /> ""'PROPERTY SURVEY required far all NEW construction <br /> Dvect�ons: e <br /> Fiii ouf appliration completety. <br /> Owner & t;oMrector sign back oF appl'�cation, notar¢ad <br /> !f over 52500, a Notice of CommencemeM is required. (A/C upgrades over S7500) <br /> '� A9erri (tc�r ths ecxNractor) a Pwver d Attomey (ku the ownerJ wvc�ld be samecxre with not�ed ktter fivm c+wner authormng same <br /> OVER THE COUNTER PERMITTING (Fmnt M Application Only) <br /> Reroofs 'rF shir�iles Sewers Service Upgrades A/C Fences (PbUSurvey/Footage) <br /> Driveways-Not over Counter iI on pubGc roadways..needs ROW <br />