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s��-�eaoozo City of Zephyrhills Permit Application FaX-s��-�so_oosi <br /> Building Departmern <br /> �� R�e��� - b l S' 1 � <br /> Phone Contact for Pertnitling <br /> T - TfT7 <br /> Ownefs Name Owner Phone Number � � <br /> Owners Address e � Owner Phone Number <br /> fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Trtleholder Address <br /> JOB ADDRESS LOT # �� <br /> SUBDIVISION � YQr �S PARCEL ID/! (/ � +b� <br /> �oara�n Fxor wtovemr r�x Nonc� <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> S e2 <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q P� �� <br /> DESCRIPTION OF WORK — � . � J • //h/ �� f <br /> � (. VIO <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT 3o c, 6 f vnd� lay�te� � <br /> QBUILDING f"�1 �O VALUATION OF TOTAL CONSTRUCTION ��p ��� . D� <br /> (J � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUM8ING § � - /� /� <br /> � //'� S <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS O ROOFING Q SPECIALTY � OTHER � U G <br /> FINISHED FLOOR ELEVATIONS �`�� <br /> FLOOD ZONE AREA QYES NO • <br /> BUILDER � COMPANY r IQMOL"p!� �'�x't � OK� �M7 <br /> SIGNATURE REGISTERED Y/ N F� cuR�n Y/ N <br /> Address �� License • <br /> ELECTRICIAN C� <br /> SIGNATURE REGISTERED Y/ N p� cuRrtEn Y/ N <br /> Addreas License # �— � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� y/ N <br /> Address <br /> License �F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N p� c��n Y/ N <br /> Address <br /> License # <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach (2) PIM Plans; (2) sets M Building P�ans; (1) set of Energy Fortns; R-O-W Pertnit for new construclbn, <br /> Minimum ten (10) working days after submittal date. Requined onsRe, Construction Plans, Stortnwater Plans wl Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Work pertnit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Ptans plus a L'rfe Safety Page; (1) set of Energy Fortns. R-O-W Pertnit for new conslruction. <br /> Minimum ten (10) wurking days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projeds. All commercial requirements must meet compliance <br /> SIGN PERMIT At[ach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construd'an. <br /> Dlrections: <br /> Fill out application completety <br /> Owner & Contraqor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is rayuired. (AIC upgrades over =7500) <br /> " Agent (for the contrac[or) or Power of Attomey (for the owner) would be someone with notarized letter from owner authaizing same <br /> OVER THE COUNTER PERMiTiiNG (Front af Application Only) <br /> ReroMs 'rf shingles Sewers Service Upgrades A/C Fences (PbUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />