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� ais-�saoozo City of Zephyrhills Permit Application FaX-ai�-�aaooz� <br /> Building DepaAment <br /> Date Received phone ContactforPermikin <br /> Owners Name f'(�1 3 ��{,1 Y �l c 1'1 Owner Phone Number 'J 3` �j <br /> Owners Address , I -I{h � Owner Phone Number <br /> Fee Simple TiGeholder Name Owner Phone Number <br /> Fee Simpla Titleholder Address <br /> JOB ADDRESS J�$� -1 {h � LOT# � <br /> SUBDIVISION `PA�C�I,�Dp ���I 'J v I V- J��"' U l <br /> \.,t (OBTAINED FROM PROPERTY TAJI NOTICE) <br /> WORK PROPOSED B NEW CoNSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME � STEEL Q <br /> DESCRIPTION OF WORK I��"C.l I 1 CU� '(� � �S SP�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> �MECHANICAL $ z� (�j VALUATION OF MECHANICAL INSTALLATION �r�ry I��� <br /> V . � l� � �v <br /> �GAS Q ROOFING Q SPECIALTY � OTHER �� /� `'� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �, /'' <br /> t�� .I''"... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE � REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY ►"'11I "T C, L lf 3 l,�'(����n <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address o� o(+� L License# Q� �`�� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License if <br /> 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I I I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 I I I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster;Site WoAc Permit fo�subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safery Page;(1)set of Energy Fonns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence inslalled, <br /> Sanitary Faalities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW construclion. <br /> Directiona: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notanzed <br /> If over 52500,a Notice oi Commencement is required. (AIC upgrades over;7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nolarized letler trom owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> Driveways-Not over Counter'rf on public roadways.needs ROW <br />