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81���0°2° City of Zephyrhills Permit Application F�-s���eaooz� <br /> Building Departrnent <br /> Dah Received Php�y CoMact fw PemiiW <br /> Ownera Name v� � ►� : Owner Phone Number <br /> Ow�els Address J S 7 Owner Phone Number � <br /> Fes Simple TidehoWsr Name � Owner Phone Number —� <br /> Fee Simpie 71Ueholder Address <br /> JOB ADDRESS °'y � e' � ° � �',( 3 y!� LOT# �� <br /> SUBDIVISION __ PARCEL IDk I ' ' �I� ��� —O� <br /> (OBTAMED FROM PROpERTY TAX NO710E) <br /> WORK PROPOSED B NEW CONSfR 8 ADD/ALT � SIGN Q O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q '� <br /> DESCWPTION OF WORK �" � � e S (� �� `_,` <br /> ���a�'�� SQ FOOTAGE�� HEIGHT �� <br /> QBUfLDING S VALUAT�ON OF TOTAL CONSTRUCTION <br /> �ELECTR�CAL $ OD AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� <br /> QMECHAN�CAL �� VALUATION OF MECHANICAL INSTALLATION � /��� <br /> ! <br /> 0�'�`S Q ROOFING Q SPECIALTY � OTHER � �J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �` 7( <br /> BWLDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE cuRRen y/►� <br /> Address V��# <br /> ELECTRICIAN � COMPANY I ► � 1 C I\�S � C� r 1 C��� <br /> SIGNATURE � GIS Y/ N FEE cURrtEn Y/N <br /> A�.� �1 S 1 ��,�� �(' . , � � G <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHAMICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREf� Y/N <br /> Address <br /> uc�,se a <br /> OTHER COMPANY —� <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � <br /> IIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Pl�s;(2)sets of Build�g Plans;(1)set of Energy Foims;R-O-W Pertnk for new constn�ction, <br /> Minimum ten(10)w�kinp days after submittal date. Required onsite,Construction Plans,Stamwater plans w/Sift Fence inatalled, <br /> SanMary FaGlitles 81 dumpst�;Site Woric Permit fa subdivisiansAarge projects <br /> COMMERCIAL Attach(3)comp�ete sets M Building P1ana pius a Life Safety Pape:(1)set of Energy Forms.R-O-W Permit for new construcfion. <br /> Minimum t�(10)working days aft�s�mittal date. Required onsite,Constructlon Plans,gtomiwa�er plans w/SiN Fence installed, <br /> S�it�y Facilities&1 dumpater SRe Wa1c Pemet for all new projects.AJI commerciat requiremeMs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered pians. <br /> ""PROPERTY SURVEY required for all NEW conatniction. <br /> Direcdons: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencament Is required. (A/C upyrades over s7500) <br /> " Agent(tor the conVacta)a Power of Attomey((a fhe owner)would be someone with ratarized lelter from oNrt�er a�thonzing same <br /> OVER THE COUNTER PERMITTNG (Prorri p(qpp�icatlon p��y� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotape) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />