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e��-�eo-oo2o City of Zephyrhills Permit Application F�$i�-�eo-ooz� <br /> Building Departrnent <br /> Dab Reeehed phooe Contaet for Permitdn <br /> TT <br /> Owner's Name ` li V� G Owner Phone Number q <br /> Owner's Addresa A/ � r Owner Phone Number � <br /> Fee Simple Titleholder Nama L�. Z Owner Phone Number <br /> Fee Simple TitlehoWerAddress <br /> JOB ADDRESS � e LOT# � <br /> SUBDIVISION PARCEL ID1� �Z � �OO DO—OOO O <br /> �oevur�o F�anoaearr T�x wonce� <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC770N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 1 J � <br /> BUILDING SIZE � SQ FOOTAGE �� HEIGHT 7 , <br /> � i � � e � rer � � � � � � � � � � i � i � � � � � �� <br /> QBUILDING $ •OD VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUiLDER COMPANY � <br /> SIGNATURE REOISTERED Y/ N F�cut�tEn Y/N <br /> Addreas License� <br /> ELECTRICIAN � COMPANY � <br /> SIGNATURE �c,�S7EftEO Y/ N FEE CURRE� Y/N <br /> Address License t <br /> PLUMBER COMPANY <br /> SIGNATURE REC,�s�r�o Y/ N FEE CURRE� Y/N <br /> Address License�M <br /> MECHANICAL � COMPANY �_ <br /> SIGNATURE �c�s�r�D Y! N FEe cur�n Y/N <br /> Address license f � <br /> OTHER COMPANY iC/K�OGd (��l LI/ . � <br /> SIGNATURE rtEC�s�r�o Y/ F�cu�n Y/N <br /> Address 3�/�/. Qii-r, -�_J. C Zl 31� license i �— <br /> � iiiiii � i � � i � � � � � � � i � � � � �� � �� �� � � � � � iiii � ii � iii � � iii � � � i � � i � � iiii � <br /> RESIDENTiAL Attach(2)Plot Plans;(2)sets of 8uilding Plans;(1)set of Energy Forms;R-O-W Pertnil for new construction, <br /> Minimum ten(10)wnAcing days after submirisl date. Required onsite,Construdion Plans,Stamwater Pians w/SiR Fence installed, <br /> Sanitary Faalities&1 dwnpster,Ske Work Pertnit for subdivisionslla�ge pmjeds <br /> COMMERCIAL Attach(3)complete sets of Buildinp Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)woikimp days after submittal date. Required onske,Conshix:tion Plens,Stomrv�rater Plans w/SiH Fence installed, <br /> Sanitery Facilifies&1 dumpsler.SRe Work Pertnit for all new projects.All canmercial requiremerrts must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for a0 NEW construcfion. <br /> DlrecUona.• <br /> Fill out application completely. <br /> Owner&Contractor sign badc of applicetion,notarized <br /> If over;2500,a Notice of Commencanent is required. (A/C upgrades over S7S00) <br /> " Agent(for the contractor)or Pwser ot Attomey(for the awner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI771NG (Front of Application Ony) <br /> Reroofs if shingles Sewers Service Upprades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />