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s�3-7so-oozo City of Zephyrhills Permit Application <br /> rax-a»-i�u-uv�� <br /> Building Department <br /> Date Received Z9 � Phone Contact for Permittin vr� ! – °' " <br /> � • Owner Phone Number �' !J�'�v( <br /> owner•s Name 336Z� <br /> Owner's Address � � � �GL/�i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� /( � ' /�-f/ Y`„�/'�/�� ����` LOT# � <br /> SUBDIVISION �— PARCEL ID# ?/ r�D��Dl�6oaDa5o _ <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION L] BLOCK Q FRAME [� STEEL Q OTHER <br /> DESCRIPTION OF WORK ` Q�� S C'�QI���I f�����' waf�r ��.� � U <br /> l � , �l �� � <ircf� <br /> BUILDING SIZE S(3 FOOTAGE �„t�� <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ /� /�j'o D� <br /> ( ( J <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS Q ROOFING [� SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Llcense# �— � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> PLUMBER �� COMPANY /l/ � ' G�� � �� l <br /> SIGNATURE �" • REGISTERED Y FEE CURRENT Y N <br /> Address Q �� �7�e Gl/�� Q /"�- �96o License# _ ( � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Ucense# <br /> RESIDENTIAL 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,ConstrucBon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;S(te Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over;2500,a Notice of Commencement is required. (A/C upgrades over s5000) <br /> '* Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner aukhorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubUc roadways..needs ROW <br />