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— ai�-�eo-oo2o City of Zephyrhills Permit Application Fax�13-780-0021 <br /> Buflding DepartrneM <br /> Date Received ��� phona Contact for PernfFttln � Z — V <br /> Ownar's Name �. ��Q Owner Phone Number ��� <7 / '✓�� <br /> Owner's Address � `1�' OMmer Phono Number � <br /> Fee Simple Titleholdar Name Owner Phone Number � <br /> Fee Simple Titbholdat Address � <br /> JOB ADDRESS QD D �I— ��T� C� <br /> SUBDIVi310N �RI wW PARCEL IDft� a� ai oa�o ��s� <br /> (OB�AINED FROM PROPER7Y TN(NOTICE) <br /> WORK PROPOSED NEW CONSirt ADD/ALT 0 S�GN � Q DEMOLISH <br /> e �NSTALL REPAIR <br /> PROPOSED U3E Q SFR Q COMM Q OTHER � <br /> 7YPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q r—� <br /> DESCRIPTiON OF WORK � C G l3N4e- Du- � <br /> BUILDING SIZE �� S�FOOTA6E� HEIGHT � <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAI $ ���r VAIUATION OF MECHANICAL INSTALLATION <br /> .7� <br /> QGAS Q ROOFIPtG Q SPECIALTY 0 OTNER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY � <br /> SIGNATURE Recis�r�o Y! N F�curtr�r. Y/N <br /> Address License# � <br /> ELECTRtC1AN COMPANY � <br /> SIGNATURE REGISTERED Y/N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGlS7ERED Y/N �cuprter. Y/N <br /> Address Lice�Se# � <br /> MfCHANICAL � � COMPANY FJ�N��S �P�N� t-f�C� <br /> SN3NATURE � rtEC�Si� Y/N FEE CuRttEn Y!N <br /> Addross � C!V G '� Lkense iF �rIC-V���T'j� I <br /> OTHER COMPANY <br /> 316NATURE REGISiERED Y/N FEE CURRE� Y!N <br /> Addrass License# � <br /> RESiDENT1AL Altach(2)Plot P�ans;(2)sels of Bviiding Plans;(1}set of Enert,�y Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required aiske,ConsWctlon Plans,Stamwater Plans w/Sllt Fence installed, <br /> Sanitery Fadlides 8 t dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of BWMing Plans plus a Ltfe Safety Page;(t)set of Energy Forms.R-O-W Permit for new conslructlon. <br /> Minimum ten(10)worklrg days aRer submitfal date. Requlred onsite,Cons6uctlon Ptans,Stormvrater Plans w/Silt Fence i�stalled, <br /> Sanitary Fadlitles&4 dumpster.Slte Work Pertnit fix aN new proJects.All commerdal requirements musf ineet compBan�ce <br /> SIGN PERMIT Atfach(2)sets of Engirreered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWclion. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Ovmar 8 ContraUOr sign back of applicatlon,noWrized <br /> H over i250o,a Notice of Commencemak is requirad. (NC upgradea over t7500) <br /> "' Agent(fa lhe contradorj or Power of Attaney(far the owner)woWd be sameone with notarized letter from owner authorizing same <br /> OVER 7HE COUNTER PERMITTING (Front of AppBratlon Oniy) <br /> Reroofs if shingles Sewers Service Upgredes A/C Fences(PbUSurvey/Footage) <br /> D�veways-Not over CouMer if on public roadways..needs ROW <br /> b00/Z00 d EEC# 6b Ol lIOZ/Ol/50 wo�j <br />