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�,s-�au-uuzu City of Zephyrhills Permit Application Fax-913-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin � � -- �'J p6 <br /> Owvner's Name G G��'��TI�' ° � Owner Phone Number � (3 ��O`� � <br /> Owner's Address �q Q-ti �'�' �j �Owner Phone Number � <br /> Fee Simple Titleholder Name � l GUI�S Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �O�1 Ci/h/NGx OJ j`( /�i1 ' � ! �P �� LOT# � <br /> SUBDIVISION S�/���'z ���/ � PARCEL ID# � b �(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1MORK PROP03ED B NEW CONSTR 8 ADD/ALT �] SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CON3TRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �l/S�/ ,SJ�'!c�lt3 ._L��- �C.Z ,I�'-��.7�r? <br /> BUILDING SIZE r�C9�� SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL a rJ�� AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �"`� p��c.iv <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN •� COMPANY I/��-$/ C �'�' � L�C��� <br /> SIGNATURE REGISTERED N FEE CU RE� /N <br /> Address 2 �(J'o'e ,� "�1 License# �L /3 C��5 �0� <br /> PLUMIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 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 1 N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bui�ding Plans;(1)set of Energy Forms;R-0-W Permit for�ew construction, <br /> Mi�imum ten(10)worlcing days after submfttal date. Required onsite,ConsUuction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary FaGlities d�1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL ABach(3)complete sets of Building Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worlcfng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 cronsVuctlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,nota�ized <br /> If over 52500,a Notice ot Commencement is requfred. (AIC upgrades over 57500) <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 PERMITTING (Front of Applicatlon Only) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />