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sisaao-oozo City of Zephyrhills Permit Application Fax-aia�so-oozi <br /> Building Depariment <br /> Oate Received <br /> Phone Contact for Pertnitting <br /> "7-f-Trf - <br /> � Ownels Name LK�!\ ``. Owner Phone Number 1�7`�ot(J-- <br /> Ownefs Address � ������ 'Y� Owner Phone Number � <br /> Fee Simple TiUeholder Name � Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS ��� �,3 LOT# v � <br /> SUBDIVISION PARCEL ID# �-�' �IU 'p�p�� '� <br /> (OBiAINED FROM PROPERTY TAl(NOTIGE� <br /> WORKPROPOSE� B NEwcoNSrRe ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q ' <br /> DESCRIPTION OF WORK ' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S � ` � VALUA710N OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 1 1 <br /> BUiLDER C�P� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License iR <br /> ELECTRICIAN C�p� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License�R <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERm Y/ N FEE CURREN Y!N <br /> Address <br /> License� <br /> OTHER ��r!r"V V COMPANY �� — <br /> SIGNATURE REGISTEREO Y/ N Fe RREN 1 N <br /> Address � �1�o[Y� � , � �License 0 '1"I�T�� <br /> IIIIIIIIIIIIIIItllllllllllllltlllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)pbt Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortrnrater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster,Site Work Pertnit for subdivisions/large projecfs <br /> COMMERCl/LL Attach(3)complete sets of BuiWing Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consWdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Slortnwater Plans w/Sitt Fence instaUed, <br /> Sanitary Faalities&1 dumpster.Site Work Pertnit for all new projects.All commerc,ial requi2ments must meet compliance <br /> SIGN PERMIT Altach(2)sets of Engineered Pla�s. <br /> ""PROPERTY SURVEY required for all NEW consWCtion. <br /> DirecUons: <br /> Fill out applica6on completely. <br /> Owner 8 Contrador sign badc of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgredes over 57500) <br /> " Agent(for the contrador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same � <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> D�veways-Not over Counter if on public road�+rays..needs ROW <br />