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s�s-�eo-oozo City of Zephyrhills Permit Application ������� Fa�813-780-0021 <br /> � Bullding Department <br /> ._ '� rcc�� <br /> )ake Received l�� -�' Phone Contact for Permittin - <br /> )wner's Name ��C- Hq".�, �� � � �✓ � Owner Phone Number � �� � � � C � / <br /> )wner's Address �` ' � � ���`� Owner Phone Number � 3J�� ��i� <br /> 'ee Simple Titleholder Name G6�/G�� f lI �d� /ti.�wner Phone Number � <br /> =ee Simple T1tleholderAddress <br /> 106 ADDRESS `'��° � � /�'t E'� ��'�'� v''� C � ��/�� `� LOT # <br /> iUBDIVISION ��� /r � PARCEL iD# '^.� -'� ��� � 0 a G�U ��(� / <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED B NEW CONST� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROP�SED USE � SFR Q COMM � OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK � FRAME 0 STEEL Q <br /> )ESCRIPTION OF WORK � ��'�C l/✓ C xS/J i /�✓ /�'�b ^�/�' �C�•�'-G �7� ��GC SGP�'� N �iC� .�''�-, <br /> 3UILDING SIZE / SQ FOOTAGE HEIGHT � <br /> _ OBUILDING $ Q`�� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE c�/ C/ � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ /` `•1/ORfc� LJ G" G�jii/v 4� y�;;il/Nl��� <br /> QMECHANICAL $ VALUATION� MECHANICAL INSTALLATION ' 2� ,J� <br /> � � <br /> OGAS Q ROOFING �� SPECIALTY Q OTHER 1 �,.� <br /> �INISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO� <br /> � <br /> 3UILDER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # � <br /> ELECTRICIAN � COMPANY <br /> ;IGNATURE REGISTERED Y I N FEE CURRE� Y/ N <br /> Address License # � <br /> �LUMBER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> AECHANICAL COMPANY <br /> ;IGNATURE REGISTERED Y/ N FEE CURRE� Y/ N , <br /> Address License # <br /> )THER ,� � I /n,, �� COMPANY <br /> ►1GNATURE � i'!/��' ✓ F2EGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � License # �— � <br /> 2ESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence (nstalled, <br /> Sanitary Facilities � 1 dumpster; Site Wor1c Permit for subdlvisions/large projects <br /> :OMMERCiAL Attach (3) complete sets of Building 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 submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for ali new projects. All commercial requirements must meet compliance <br /> iIGN PERMIT Attach (2) sets of Engineered Plans. <br /> **"PROPERTY SURVEY required for all NEW construction. <br /> )irections: <br /> Fill out appltcation completely. <br /> Ovmer 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over;7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (Front of Application Only) <br /> teroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> iveways-Not over Counter if on public roadways..needs ROW <br /> _� <br />