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ai�-�so-oo2o City of Zephyrhills Permit ApplicationJ�,r•�li�-"�=� F�s�aaso-ooz� <br /> su�an�oepanmeM �-� ����� � ��'3 _���� <br /> Date Received �/ � �— Phone Contactfor Pertnittin 9 — D O �C� <br /> r r rri rr r- <br /> Owners Name S Owner Phone Number � �—�� V, <br /> Owners Address lJl„J Owner Phone Number �--� <br /> Fee Simple Titleholder Name Owner Phone Number �� !��� <br /> ,v 1� <br /> Fee Simple TitleholderAddress <br /> � `SI/\ <br /> JOB AODRESS � �V f'C J y�OT# [ I � � <br /> SUBDIVISION �— PARCEL IDk �pC�� I 1 OO I O" ��t UD� t U I� <br /> �oeru�o�reor rROVErm rnx nonce� <br /> WORK PROPpSED B NEW CONSfR 8 App(AI.T Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q � <br /> DESCRIPTION OF WORK \lJt,� r(X� d�p Q,u e M�,}o� ��ov�i n <br /> BUILDING S12E SQ FOOTAGE� HEIGHT <br /> �]�GILDING a / � VALUATION OF TOTAL CONSTRUCTION <br /> �� �� <br /> QELECTRICAL y AMP SERVICE q' PROGRESS ENERGY Q W.R.E.C. <br /> � ``��J �V� <br /> �PLUMBING $ � <br /> �MECHANICAL � VALUATION OF MECHANICAL INSTALLATION �° --•- _. �'—'"'"""""`""` <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �as, v <br /> BUILDER CpMppp�y <br /> SIGNATURE a�c�s�o N r�a�n Y/N <br /> �y�� 1� � <br /> Address �avv�/ S�'Q D BrooKSVi F'� License# �� <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE �cis�r�o Y/ N F�cuRqen Y/N <br /> Address License A �� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License 8 �� <br /> MECHANICAL COMPANY � <br /> SIGNATURE rtECistErtEO Y 1 N FEE CURRE� Y/N <br /> Address Lice�se� �� <br /> OTHER COMPANY � <br /> SIGNATURE REGIS7ERED Y/ N F�cu�tEn Y/N <br /> Address License# � <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 / 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWciion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Stortnwater Plans w/Silt Fe�nce instaNed, <br /> Sanitary Facalities 8 1 dumpster;SRe Work Permi[for subd'nrisionsAaige projec[s <br /> COMMERCIAL Atlach(3)complete sels of Building Plans plus a Life Safety Page;(1)set of Energy Fams.R-0.W Permit ior new caistruction. <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construd'an Plans,Stormwater Plans w/Sik Fence installed, <br /> Sanitary Faalities&1 dumpster SRe Work Permit for all new projects.AII commeraal requiremeMs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""'PROPERTY SURVEY required for all NEW construction. <br /> Duections.• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over SZ500,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> *' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with rrotarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (FroM of Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-NOt over Counter if on public roadways..needs ROW <br />