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si��ao-oozo City of Zephyrhills Permit Application Faz-a��-�ao-ooz� <br /> Building Department <br /> Date Received ,�. r <br /> Phone Contact Mr Permitti <br /> �-rrr�� r -r��i <br /> Owners Name y�.. Owner Phone Number '� <br /> Ownefs Addroas ��� Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phono Number �� <br /> Fee Simple TiUeholder Addreas � <br /> JOB ADDRESS �� � � •� � LOT# [� <br /> SUBDIViSION �/, PARCEL IDC �D�f��Z�'�� ��4�'�_�1 <br /> (OBTNI�D FROM PROPER'IY TAl[N0710E) <br /> WORK PROPOSED (� NEW CONS7R B ApDlALT � SIGN � � DEMOLISH <br /> ��� INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q �� <br /> DESCRIPTION OF WORK � � � <br /> BUILDING S12E SQ FOOTAGE HEIGHT � <br /> �BUILDING $ <br /> ALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRIC� AMP SERVICE PROGRESS ENERGY <br /> 0 Q W.R.E.C. <br /> QPLUM8ING $ � '/ <br /> / 1 ///-�iC! <br /> QMECHANICAL $ VALUAnON OF MECHANICAL I TALLATION � ��� `� ,/ <br /> � <br /> OG� � ROOFING Q SPECIALTY � OTHE <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES <br /> BUiLDER � COMPANY —� <br /> SIGNATURE � r�c�s�r�o Y/ N �cur�en Y/N <br /> Address <br /> License* � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y)N ��� <br /> Address License iR � <br /> PLUMBER � COMPANY � <br /> SIGNATURE REGISTERED Y! N ��up�� y!N <br /> Address � <br /> License i <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y! N FEE CURREi. Y/N �� <br /> Address � <br /> License# <br /> OTHER COMPANY G � <br /> SIGNATURE REGISTERED Y J N �� <br /> �� ��cura�n Y/N <br /> Address . � ]/� License! �/��7L+--iti'—J <br /> I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 A 1 1 1 1 1 <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWCtion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)woilcing days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Faalities&1 dumpster Sfte Work Permit for all new projects.All commeraal requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completety <br /> Owner&Contractor sign back af application,notarized <br /> If ovar S2S00,a Notice of Commencemant is required. (A/C upgrodes over 57500) <br /> " Agent(for the co�Vactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(P�oVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />