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ais-�saoozo City of Zephyrhills Permit A lication <br /> pP Fax-s13-780-0021 <br /> Building Department <br /> Date Received <br /> � � T Phone Contact for pertnittin <br /> Ownefs Name e,m (� <br /> r �,"� � be� <br /> OwneYS Address ��� � I`g � J' fi�� �, <br /> 1 �Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Zy �^ �,. 1 �� h i �� r ' <br /> �� � LOT # �� <br /> SUBDIVISION PARCEL ID# 1 � ` �, �p � � I - �� 1 � - � � �,p -O I � <br /> WORKPROPOSED B (OB7AIN EDFROMPROPEItTYTAXNO7ICE) <br /> rvEw CoN57n ADD/ALT O SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM <br /> TYPE OF CONSTRUCTION Q BLOCK � OTHER <br /> Q FRAME � STEEL � <br /> DESCRIPTION OF WORK C� ��,n Ci�� ��-. <br /> � <br /> BUILDING SIZE SQ FOOTAGE �� <br /> HEIGHT � <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ <br /> AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION r � ���� � <br /> $ 38�S.0o <br /> �GAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS <br /> FLOOD ZONE AREA �YES NO <br /> BUILDER l Q <br /> SIGNATURE COMPANY {�[. <br /> REGISTERED Y N URRE� Y/ N <br /> Address � � � � 1 <br /> ��ZLicense# � <br /> ELECTRICIAN <br /> SIGNATURE COM <br /> REGISTERED Y/ N FEE CURREA Y/ N <br /> Address <br /> License # � <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE RE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL r �^� �� � � <br /> SIGNATURE COMPANY `� <br /> p REGISTERED C Y N FEE CURREA y/ nJ <br /> Address 1� � n. � ��1i G� W�2 License# v l 1 <br /> OTHER � � <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> 11111111111111111111111111111111111111111111111'lll#11� 11111111111 <br /> RESIDENTIAL Attach (2) plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-0.W Pertnit for new construdion, <br /> Minimum ten (10) working days after submittal date. Required onsite, ConsVUdion Plans, Stortnwater Plans w/ Sitt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projeds <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fortns. R-O-W Pertnit for new canstrudion. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConsUuction Plans, Stortnwater Plans w/ Sik Fence installed, <br /> Sanitary Faalities & 1 dumpster. Site Work pertnit 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 consttuc[ion. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If over s2500, a Notice of Commencement is required. (A!C upgredes over 57500) <br /> " Agen[ (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />