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a is-�ao-oo2o City of Zephyrhills Permit Application F2x-813-730-0021 <br /> Bwldmg Department <br /> Date Received phone Contact for Permitting - � <br /> 1 � 1 1 � � I 1 t � � 1 1 <br /> ' UV � <br /> Owner's Name Owner Phone Number <br /> Owner's Address 3�U HQ� Y�G� �U��t�1C' ����GY 1 i�'e'� �3 '� Owner Phone Number <br /> Fee Simple Titleholder Name ��.y � ��. —� Owner Phone Number �— <br /> ._� <br /> Fee Simple 7itleholder Address <br /> JOB ADDRESS �(1C ,�.L� �'j � , ,�/ Ci LOT # � <br /> SUBDIVISION �--� PARCEL IQ# �� �-� �,y � a c, "' Q n ( V — ( � , � � - ��� <br /> (08TAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR d COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME O STEEL Q <br /> DESCRIPTION Of WORK �\ �,� T \ } aJ�'� <br /> BUILDING SIZE � � SQ FOOTAGE � HEIGHT [� <br /> � � � � � 1 1 � � �� � � 1 1 11 � � � 1 � 1 � � � � 1 1 1 � � � � � 1 1 � � � 1 1 � � � � 1 1 1 � � � � 1 1 � � � � � � 7"ITTTr <br /> �BUILDING $ VALUATiON OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 4 � l � AMP SERVICE Q PROGRESS ENERGY Q W-R.E.0 <br /> L <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS O ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YE5 NO <br /> BUILDER � � COMPANY � <br /> SIGNATURE ftEGISTERED Y/ N FEE CURRE� Y! N <br /> Address License # �— —� <br /> ELECTRICIAN COMPANY l�, � �- <br /> SIGNATURE REGIS7ERED Y N P6 CURRE� Y/ <br /> Address �, � 7(�U � License # � l"i{Li ��-- <br /> PIUMBER COMPANY � <br /> SIGNATURE REGI5T[RED Y/ N PEE CURREP Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> IIIIIIIII IIIIIIIIIIIIIIIIIIIt 111 1111111111I111ii1111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bwlding Plans; (1) set of Energy Forms, R-O-W Permrt for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Sit Fence installed, <br /> Sanitary Facilities & t dumpster; Site Work Permit For subdivisionsllarge projects <br /> COMMERCIAL Attach (3) comp�ete sets of Building Plans plus a Life Safety Page; (i) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities & i dumpster Site Work Permit for 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 construction, <br /> Directrons. <br /> Fili out application cornpletely <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A!C upgrades over 57500) <br /> "' Agent (for the con[ractor) or Power of Attorney (for the owner) wouid be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI77ING (Front of Application Only) <br /> Reroofs it shingles Sewers Service Upgrades NC Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />