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$��-���o City of Zephyrhills Pertnit Application F�-�»-��� <br /> BuiWing DeparUnent <br /> . Date Rec°~°d � ���v Phone Contad for ParmHU <br /> Owner's Name /�• � Owner Phone Numbsr �( L / ��� � <br /> Owner'a Address h Owner Phone Number � � <br /> !i <br /> Fte Simple Tkleholder Name �C Owner Phone Number <br /> Fee Simple Titlel�olde►Address � <br /> l� � �� LOT�M �� <br /> JOB ADDRESS <br /> SUB�VISION � PARCEIIDi � <br /> � <br /> �,t � (OBTNNED�PROPERTY 7A%NOTCE) � / � �'�� � <br /> WORK PROPOSED NEW CONSTR ADD/AlT SIGN L'j� DEMOLISH /G <br /> e INSTALL REPAIR s� <br /> PROPOSED USE Q SFR Q COMM � OTHER � �tN r,ts <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME 0 STEEL Q �� <br /> DESCRIPTION OF WORK n�,� L�..,�� (�.1� ��'/L� � � <br /> � ��3 S �� <br /> BUILDING SIZE SQ FOOT/K'aE� HEIGHT � 1� J � ` ��r./� � <br /> A+' <br /> .i.i�ll,�,/ J"-¢- <br /> �BUILDING E � VALUATION OF TOTAL CONSTRUCTION � <br /> QELECTRICAL a AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ / <br /> / ��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER '� l �NG G <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �- CJ�/'�1 �f � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE r�cisrEr�o Y! N F�cura�n Y/N <br /> Address License# � <br /> PLUMBER � COMPANY � <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAI COMP/WY � <br /> SIGNATURE �cisr�n Y/ N �E cuwx�n Y/N <br /> Address License# � <br /> OTHER � COMPANY � <br /> SIGNATURE REGISTEREO Y! N FEECURREA Y/N <br /> Address License# �. � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days a(ter subnitt�date. Required onsite,Construdion Plans,Stamwater Plans w/SiR Fence installed, <br /> Sanitary FacNities 8 7 dumpster,Site Wak Permit for subdivisions/large projeds <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Forms.R-aW Peimit fw new ooristructlan. <br /> Minimum ten(10)waking days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w/SiR Fence installed, <br /> Sanitary Facilities&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 NE1N consWction. <br /> Direetlons: <br /> Fill oul applicadan completely. <br /> Owner 8 ConVador sign back d application,notaraed <br /> N mrer s2500,a Notice of CommancameM ia required. (A/C upgrades over 57500) <br /> '* Agent(for the contractw)or Power of Attomey(fa the ow�er)would be someone with notar¢ed letter hom owner authormng same <br /> OVER THE COUNTER PERMITi1NG (Front of Application Only) <br /> Reraofs'rf shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />