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. 813-7 Gity of Zephyrhills Permit Application F����7so-oozi <br /> Building Departrnent <br /> - �� � � .� � �,�. �����. ��� � .� _ a. <br /> �.Yne►� , RcFi e� t,-� T �- - <br /> �r � 0 Uwner Pl�one Number <br /> �b D�awc� �d a � <br /> Ownars Address � <br /> Owner Phone Numlfer <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titteholder Address <br /> JOB ADDRESS D � 7`tV�- O�.- LOT # � <br /> SUBDIVISION � � PARCEL IDA� D 1 b <br /> �OB'fAINED FROM PROPEFCfY TAII N0710E) <br /> WORK PROPOSED e NEW CANSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK �� FRAME � STEEL Q <br /> � � i <br /> DESCRIPTION OF WORK q <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> BUILDING a 9 VALUATION OF TOTAL CONSTRUCTION <br /> 1 <br /> �LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING y /J' �ZV(� � <br /> �-ir <br /> QMECHANICAL E VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> 1 <br /> BUILDER � COMPANY �� 1CnCC� \ 171�LS1 • 1.i I� e <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN � / COMPANY ' �` �� �. L � � 1 : '_,' �• �' ' T - <br /> SIGNATURE .4-c - ^ t rtECisrEr�� Y/ N F� curx�n � Y 1 N <br /> �. � � �� <br /> Address /r i' 1 .a /- � � ;1._ - License 8 �� �� KJ � � <br /> PlUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License / <br /> MECHANICAL CpMpqNy <br /> SIGNATURE REGIS7ERED Y/ N F� curatEn Y/ N <br /> Address License 0 �— � <br /> OTHER COMPANY <br /> SIGNATURE r�c�s�o Y/ N � curx�n Y/ N <br /> �d� License t � <br /> 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 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 1 1 I 1 1 1 1 1 1 1 1 1 1 <br /> RE3IDENTIAL Attach (2) Pbt Plans; (2) sets of Bulding Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days afler submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sarritery Faalities & 1 dumps[er; Site Work Pertnit for subdivisions/large projec[s <br /> COMMERGAL Attach (3) complete sets of Building Plans plus a Lrfe Safety Page; (1) set of Energy Forms. R-O-W Pertnit for new cbnstrudion. <br /> Minimum ten (10) working days afler submitlal date. Required onsRe, ConstrucGon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Faalities & 1 dumpster SRe Work Permit fw all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constniction. <br /> DirecUons: . <br /> Fitl out applicatan completey <br /> Owner & Contrador sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over S7'.�) <br /> " Agent (for the contractor) w Power of Adomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT7ING (Front of Application Only) <br /> Reroofs 'rf shingles Sewers Service Upgrades A/C Fe�ces (PbVSurvey/Footage) <br /> D�veways-NOt over Counter if on public roaAways..needs ROW <br />