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ais-�ao-oozo City of Zephyrhills Permit Application F�-a�s-�ao-oozi <br /> Building Department <br /> ` Dffie Received b -� �i phone Contact tor Permittin � <br /> �Tr - <br /> r <br /> Owner's Name / //'/� Owner Phone Number <br /> Owner's Address c3 0� �IC� � � Owner Phone Number �� <br /> Fee Simple Titleholder Name � C�/ QlC.G� Owner Phone Number 8 l�� /a Q�6 � <br /> Fee Simple Titleholder Address ��� '� /��C �� , 2 �—��• / � <br /> �J <br /> JOB ADDRESS � / fI4'• �� LO7 N [� <br /> SUBDIVISION PARCEL IDN (J Ofp�����Q"VOIOQ^d� <br /> (08TAINED FpOM PROPERTV TA7(NOTICE� <br /> WORK PROPOSED �EW CONS7R e ADD/ALT � SIGN �� � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM � OTHER —� faC�� <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL Q �/� <br /> DESCRIPTION OF WORK �� Q l� I � rTZ/��/F� I/9'L S/S �� �� � <br /> /� 2y u�l��' <br /> BUILDING SRE � � SQ FOOTAGE /�• TJ � HEIGHT Oi/ / h � <br /> UILDING $ /, "]T� VALUATION OF TOTAL CONSTRUCTION <br /> � OC/ <br /> LECTRICAL $ /�D AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> .�� �3� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address )C� �cense# <br /> ELECTRICIAN � ��, �MPANY (x /� �' ,SPI '" '��/' <br /> SIGNATURE - REGISTERED Y/ N F CURRE� Y/N <br /> Address � Q!1� 4 B Q �� License# [C����Q�3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURqEh Y/N <br /> Addreas � <br /> License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED , Y/ N FEE CURRE� Y/N <br /> Address -- �� —� <br /> License# <br /> OTHER �� i MPANY F�C LC/C% • � � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address L �� � � �i� License# � dOOCiO`�3 <br /> 1111111111111 11111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2 lot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit fw new construction, <br /> Minimum ten(10)waking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Faalities R 1 dumpster;Site Wak Permft for subdivisions/lazge projects <br /> COMMERCIAL Attach(3)complete sets of BuiWing Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W PermR fw new construction. <br /> Minimum ten(10)wwking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed, <br /> Sanitary Faalities&1 dumpster Site Work Permit for all new projects.All commercial requiremeMS must meet compli;ance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"'^'PROPERTY SURVEY required fa all NEW construction. <br /> �1�1�1�1�1 • <br /> Directions. <br /> Fill out application completely <br /> Owner 8 Contrador sign back of appliption,notarized <br /> It over E2500,a Notice of CommencemeM is required. (q�C upgrades over 57500) <br /> " Agent(for the contrador)or Power of Ariorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs'rfshingles Sewers Service Upgrades A/C Fences(PIOUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />