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a�s-�aaoozo City of Zephyrhills Permit Application FeX-e���ao-oo2� <br /> Building Department <br /> i <br /> Date Received Q � j� Phone Contact for Pertniltin ° — � <br /> Ownera Name LL� C.0 QC.'7�� Owner Phone Number ^�D� r �� <br /> .�I,�►C �� <br /> Owners Address 5 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Sfmple TiUeholder Addreas � <br /> JOB ADDRESS BW D LOT# [� <br /> SUBDIVISION �Or �FFQ�Y(�JFILLS I PA�EL IDi{ 35'�P�.+'b���o'd a0�"��V � <br /> � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSfR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q �� <br /> DESCRIPTION OF WORK S <br /> BUILDING SI2E SQ FOOTAGE {�)r� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION � - � � <br /> _ —. <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C:' <br /> ��E, �,�Ge,�,✓ <br /> QPLUMBING 3 <br /> :` <br /> �MECHANICAL S `$��(' . VALUATION OF MECHANICAL INSTALLATION ��/ �/ �.,�,,,,.--'� <br /> � �F <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 CURREA Y/N <br /> Address License t �� <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License t �� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGIS7ERED Y 1 N FEE CURREI. Y/N <br /> Address License f �� <br /> MECHANICAL � � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �� <br /> OTHER COMPANY �+'�k/�Y/Wr01YH4�'C� FtP.��'PPI�� <br /> SIGNATURE REGISTERED Y N FEE CURREA Y/N <br /> Address � 3��(+� License i �{,►+�p.��pY�� <br /> 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 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0.W Pertnit for new construction, <br /> Minimum len(10)working days after submittal date. Required onsite,CansWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> SanNary Fadlities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Forms.R-O-W Pertnit for new cunstruction. <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Fadlities&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 construction. <br /> Directions:• <br /> Fill out application completey <br /> Owner&Contractor sig�back M applicadon,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over 57500) <br /> " Agent(for the conVador)or Power of Attomey(for tlie owne�would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Ony) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Faotage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />