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e��-�eaoo2o City of Zephyrhills Permit Application F�$»-�e°-°°2� <br /> Building Departrnent <br /> °' Dale Reeslved Phone Contaet for Permittinp O�J �7 7 _Z�O��� <br /> rT �r� r rr rTt 2 <br /> Owners Name 1J�� � V'/�+"�G! A- Ownsr Phone Number �J'�� �'�7 � <br /> Owner's Addrou (e a S y m A-�sl£ �2 O p��phons Numbsr <br /> Fas Slmple TlUeholdsr Nams � � � Ownar Phone Numbsr <br /> Fes Slmpla TlUeholder Addross <br /> JOB ADDRESS aZ `-( Yn A�S S� 2 O �or� � <br /> SUBDMSION ; �u n T f� PARCEL IDk ' �oa3o-�U`� �'�y D <br /> (OBTAINED FROM PROPERIY TAI!NOTCE) <br /> WORK PROP08ED e NEW CoNS7R B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK C l: � • S Ta� �J��/` <br /> BUILDING SIZE SO FOOTAGE� HEIGHT � <br /> QBUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � ��S 3 <br /> QMECHANICAL a -�10 l VALUATION OF MECHANICAL INSTALUITION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y f N FEE CURRE� Y/N <br /> Addross License# <br /> PLUMBER COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Addrou License# <br /> MECHANICAL COMPANY � ��1�` S <br /> g�aNpN� REGISTERED Y N FEE CURRE� Y/N <br /> Addrsss �r }T a' License# C L � <br /> OTHER C�P� <br /> SIGNATURE REGISTERED Y/ N FEE CUFtREA Y/N <br /> ,qddross License# <br /> t11111111111111111111111111111111111111111111111111I111111111111111 <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets oi Building Plana;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)workfng days after submiltal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FacilfUes&1 dumpster;Site Work Permit for subdNisions/ISige projects <br /> COMMERCIAL Attach(3)complete sets oi Building Plans plus a LHe Safety Page;(1)set af Energy Fortns.R-O-W Pertnit for new cansUuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructiai Plans,Stortnwater Plana w/SiR Fence installed, <br /> Sanitary Faali�as 8 1 dumpster Ske Wor1c Pertnit for all new projects.All commercial requirements must meet compliance <br /> SICaN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> 1 1 { 1 1 1 1 1 • '� i 1 i 1 1 1�.1 1 1 1 { 1 1 ' <br /> Dlnetlons: <br /> Fill out application completely. <br /> Owner&Contradw sign back of applicatlon,nofarized <br /> H over 52500,a Notica of CommenesmeM Is roqulrod. (AIC uppndu ovx 57500) <br /> " Agent(for the contrador)or Power of Attomey(for Uie owner)would be someone with nolarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front M Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgradas A/C Fences(PIoUSurvey/Footage) <br /> Driveweys-NOt over Counter it on public roadways..needs ROW <br />