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sisaso-oozo City of Zephyrhills Permit Application _ F�-a.t3_�ao-oozi <br /> __.�Building Department... ��� � - <br /> nate Received + _..- �.��.. \ <br /> Phone Co tact for Pertnittin -�'"- '�' � <br /> ' T-ITf-IT -- <br /> Owner's Name e � �(��,,,, Owner Phone Number �' ���� <br /> Owners Address �. �n <br /> 'e Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS �Q SI � e LOT# � 3 �1 <br /> SUBDIVISION PARCEL ID# I— ��� �� —Q <br /> (OBTAINED FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER OO <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 1S Q C� /U W �� ` � � <br /> BUILDING SI SQ FOOTAGE�.___._._. HEIGHT �� <br /> BUILDING $ VALUA ION OF TOTAL CONSTRUCTI_ O�N� <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �� `! ��S � ,/�/ <br /> `� ,C J <br /> . �MECHANICAL $ VALUATION OF MECHANICAL INSTALLA ON � J.( ("� <br /> -__- �?�"� I' <br /> QGAS � 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 <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# <br /> OTHER h COMPANY RFO/(jd/�,C p ��i(,(�Ip c�. ,�(,irj <br /> SIGNATURE _ __ _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Q V. � lV License# �S � <br /> 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach-(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C 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 Application On�y) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) . <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />