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a�saso-oozo � {�� �ti City of Zephyrhills Permit Application . FaX-e�saso-ooz� <br /> � � �( a Building Department Z Z�3 Z z�O S� <br /> i ' u � <br /> Date Received [�` � Phone Contact for Permittin �� `� �" <br /> ner's Name ��� � �� ��� `5 Owner Phone Numbe� <br /> Owner's Address � � � � ���'� K `���� � �ner Phone tJumber <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Tltleholder Address �� <br /> JOB ADDRESS <br /> '�7f'�I �,� !'�i /"T T K Nd �� c�✓/� Z f����� Fi �� LOT � <br /> � ��- pZ� vf?�"�� <br /> SUBDNISION. PARCEL ID# <br /> (OBTAINED FROM PkOPERTY TAX NOTICE) <br /> WORK PROPOSED ' � NEW CONSTR B ADD/ALT [,� SIGN Q MOVE �] DEMOLISH <br /> INSTALL REPAIR <br /> --1 SFR Q - COMM [� OTHER <br /> PROPOSED USE CCJ STEEL Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q <br /> � �.c��+►.J (�c �! t�.� �C�.J�f ( � �`�.� `y''/j <br /> DESCRIPTION OF WORK �� ` <br /> BUILDING SIZE SGi FOOTAGE HEI(iHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> w''� v �'�� ' PROGRESS ENERGY [� W.R.E.C. <br /> � ELE.CTRICAL $ AMP SERVICE Q <br /> ''3 � -"�� <br /> '� PLUMBING $ 'I� � �`� � � <br /> Q MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY �7 v t ��"`�d ` � ��7U"Q'�'S <br /> SIGNATURE RE�is�Reo / N FEE CURRENT N <br /> Address <br /> �� � v✓- W . �.�.'.� /� � License # �F `�J �'�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRENT Y/ N <br /> � License # <br /> Addres� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Ucense # <br /> Address <br /> MECHANICAL COMPANY <br /> SI(3NATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> ' License # <br /> Address <br /> UTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> License # � <br /> Address <br /> RESID�NTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new constructlon, <br /> Mlnimum, ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ S(It Fence installed, <br /> Sanitary FadliHes & 1 dumps#er; Site Work Permit for subdivisfonsflarge projects <br /> COMMERCIAL Attach (3) complete sets of Bullding 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 submittai date. Requtred onsite, ConstrucUon Plans, Sformwater Plans w! Silt Fence installed, <br /> Sanitary Faciitties 8 1 dumpster. Site Work Permit for ali new proJects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ***'PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directtons: <br /> Fill out appflcatton �mpletely. <br /> OWner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (AIC upgredes over;5000) <br /> '" Agent (for the contractor) or Power of Attomey (for the owner) wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaHon Only) <br /> Reroofs Sewers Service.Upgrades A/C Fences (PlotlSurvey/Footagej <br /> Driveways-Not over Counter tf on pubflc roadways.:needs ROW <br />