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613780-0020 City of Zephyrhills Perrnit Application F�-s��-�eo-ooz� <br /> Building Depertment <br /> Date Recaived '— `� ✓ Phone Contact for Permitdn �7 / – �� � <br /> 7T T T-f- <br /> Ownefs Name !� �WG Owner Phone Number ,iv,/ ,/Z <br /> Owners Address /0� �1�5�Il�iJ�II� /��- N W � nar Phone Number <br /> Fea Simple Titleholder Name Owner Phone Number �--� <br /> Fee Simple TltlehoWerAddress <br /> JOBADDRESS � � U � ' S L LOT� � <br /> SUBDMSION PARCEL IDM O( �{ ID DD <br /> �oeru�o�wioremr r�x NoncE► <br /> WORK PROPOSED e NEW CoNSTR 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �1L�/! � DUT �Z <br /> BUILdNG SIZE �� $q FOOTAGE� HEIGHT �� <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENE(jCY" Q W.R.E.C. <br /> QPLUMBING = j <br /> �MECHANICAL S.�j VALUATION OF MECHANICAL INSTALLATION � � � (�� <br /> J � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER "'C–"�__J � /'���/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � COMPANY —� <br /> SIGNATURE a�c�S�REO Y/ N F�cuaa�n Y/N <br /> Address License f �--� <br /> ELECTRICIAN � COMPANY � <br /> SIGNATURE r�as��o Y/ N F�cura�n Y/N <br /> Addreas License�R � <br /> PLUMBER � COMPANY <br /> SIGNATURE � Rec,�sieftEO Y/ N FEE WRRE� Y/N <br /> Addnss License* � <br /> MECHANICAL COMPANY ��(��/�g'� � � <br /> SIGNATURE �cisrer�o Y! �c�n Y/N <br /> Add►�ss /�OJ �(.J ` �I � License/ �`� / � <br /> OTHER � COMPANIf —� <br /> SIGNATURE r�cis�D Y/ N �cu�n Y/N <br /> Address License S �� <br /> Illllllllllllllllllllllllllllllllllllllllltllltllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets M Building Plans;(1)set of Energy Fortns;R-O-W Pertni[for new conshuclion, <br /> Minimum ten(10)working days after submidal date. Required onaite,Construction Plens,Stortnwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster;SRe Work Permk for subdivisions/la�ge projec[s <br /> COMMERCIAL Attach(3)complete sets of B�aWing Plans plus a Life Safety Pege;(7)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days aRer submittal date, Required onsrte,Consfix.tbn Plans,S►ormweter Plans w!SiR Fence installed, <br /> Sanitary Faalities&1 dumpster Si[e Work Pertnit for aN new projects.All commer�eial requiremeMS must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for aN NEW consWd'an. <br /> Dlrections:• <br /> Ffll out application completely <br /> Owner&CanUactor sgn badc of appication,notarized <br /> If over 52500,e Notice of Commencement is requlred. (A/C uperades over:'7500� <br /> " P�gent(for the contracto�or Power of Attomey(for the owner)would be someone with notarized letter from avner auThoriang same <br /> OVER THE COUNTER PERMITTING (Front of AppGcation Onry) <br /> Reroofs if shingles Sevuers Service Upgrades AJC Fences(PIOUSurvey/FoMage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />