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s��-�eo-oo2o City of Zephyrhills Permit Application Fax-81378a0021 <br /> Building Departrnent <br /> , Date Raceived S� �'a�/�7 /� <br /> r-TTrrrT Phone Conhct for Permitfing �3 n<`L Q _ � � <br /> Owner's Name �r � CV1,�.r Owner Phone Number <br /> Owners Address � Z J l9l ' Owner Phone Number <br /> Pee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiGeholder Address <br /> JOB ADDRESS ���0 27 �O(,l.� ►! I�'�l s�� LOT# ��� <br /> SUBDIVISION �� PARCEL IDf� 3 ��.,�'ZI^ �IZO`aO000 ' ZSa S� <br /> (OBTAINED FROM PROVERTY TAJ(NO710E) <br /> WORK PROPOSED NEW CoruSTR ADD/ALT Q SIGN Q 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 10.� M.t.'�?w.� 1�(�Q'� � � <br /> BUILDING SIZE aC X SQ fOOTAGE y� I HEIGHT <br /> �BUILDING $ � _� VALUATION OF TOTAL CONSTRUCTION <br /> V(7C11 <br /> QELECTRICAL y AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ O ✓ <br /> ° N �Q��✓ <br /> �MECHANICAL $ VA�UATION OF MECHANICAL INSTALLATION C�� �� n`��`// <br /> Y <br /> QGAS �� ROOFING Q SPECIALTY � OTHE� � � ��(.� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO j `� <br /> BUILDER COMPANY - O'Qr SGt.LQ d �(,Q <br /> SiGNATURE REGIS7ERED N FEE cuwtEn Y N <br /> �d License� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N p�ctxtftEn Y/N <br /> Address License$ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> �d�� License# <br /> MECHANICAL COMPANY <br /> SIGNATURE �c�s��D Y/ N �e cuRrtEn Y/N <br /> Address License 8 <br /> OTHER COMPANY � <br /> SIGNA7URE REGISTERED Y! N F�cuaa�n Y/N <br /> Address <br /> License* <br /> Illlllllllllllllllllllllllllllllliillllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit fw new construdion, <br /> Minimum ten(10)working days after submittal date. Required onske,Construction Plans,Stortnwater Plans w/Sift Fence installed, <br /> Sanitary Fadlities 8 1 dumpster,Site Work PertnH fw subdivisions/large projec[s <br /> COMMERCIA� Attach(3)complete sets of Buitding Plans plus a L'Ae Safery Page;(7)set of Energy Fortns.R-O-W Pertnft for new constiuciion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/SiR Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requiremenGS must meet compliance <br /> SIGN PERMI7 Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWdion. <br /> Directions.• <br /> Fill out application completely. <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contrsctw)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (FroM of Application Ony) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />