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s�a-�so-aozo City of Zephyrhills Permit Application -�x.aia-Lo-oo2i <br /> Building Department <br /> ��` <br /> - _--� <br /> Date Recelved �_�S�U? l � l / <br /> � Phone Contact for Pe ttin _ l� <br /> Owner's Name �,�, (/1 �. ��1,, l � hone Number � <br /> Owner's Addrers J Z�p 2� �`"1. �C, Owner Phone Number <br /> Fee Simple Titleholder Name � Q�,(,�j� � S��'��� p�er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 � Z ^ �4 (/-L LOT# �� <br /> SUBDIVISION PARCEL ID# ! I – Z, � ' 2 � -a D!b " / �D O –Q! L <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED NEW CONSTR ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK p U <br /> BUILDING SIZE Z 0 � x � SQ FOOTAGE Z Z C� � � � ;� <br /> HEIGHT <br /> �BUILDING $ !� O U Q� d VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE �'oo PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ � � <br /> ��c <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �� ���/S ��� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � ���r ( <br /> l � <br /> BUILDER i ' ��MPANY � b I`'lR_ <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/ N FEE CURRE� Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permft for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.All 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 completeiy <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over a7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Servfce Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />