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e��-�eaoozo City of Zephyrhills Permit Application FaX-e��-�so-oo2� <br /> Building Department <br /> Date ReceNed phone Conhct for Permitd <br /> T iTl TTTr - - r, <br /> t �Owners Name han!cs /� � I�/ Owner Phone Number `7 ` <br /> Owners Address � � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number _ � <br /> Fee Simple TitlehoMer Address � <br /> JOB ADDRESS 7�� � - L � Z LOT# �f� <br /> SUBDIVISION PARCEL IDN �' � I� D <br /> �oera�o Fnor�reorem r�x Nonce� <br /> WORK PROP0.SED B NEW CANSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q �� <br /> DESCWPTtONOFWORK �//tpYe ��/�IJh/� Q�� T�G,� ILe(� �Bl}�tl/l�l LG�/� <br /> BUILDING SIZE �� SQ FOOTACaE[�-�-f'—' HEIGHT , ✓ <br /> T7 r�1 f 1 1 � 1 1 <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCT�ON <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE riEcisTEaEo Y/ N F�ct�n Y/N <br /> Address License* . � <br /> EIECTRICIAN � COMPANY � <br /> SIGNATURE REGIS'fERED Y/ N FEe ct�n Y/N <br /> Address License# �� <br /> PLUMBER COMPANY <br /> SIGNATURE �cis�r�o Y/ N F�Cu�n Y/N <br /> Address license# �� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISlERED Y/ N F�cuRaEn Y!N <br /> Address � License f � � <br /> OTHER COMPANY �_ �J � �i � <br /> SIGNATURE �c,�srer�o Y/ N FEe Cu�n Y/N <br /> Address ����� Cp/� • . {, L �� License# � � <br /> Illltllllllllllllllllllllll I � Illltlllllllllllllllllllllltlllllllll <br /> RESIDEN7IAL Attach(2)Pbt P�ans:(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new constructan, <br /> Minimum ten(10)working days elter submittal date. Required onsite,Construction Plans,Stwmwater Plans wl Sitt Fence installed, <br /> Sanitary facilities&1 dumpster,Site Work Pertnit for subdivisior�s/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe Safely Page;(1)set of Energy Forms.R-O-W Permit fw new construclion. <br /> Minimum ten(10)working days atter submittal date. Required onsite,ConsUudion Plans,Stortnwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet comp�ience <br /> SIGN PERMIT Attach(2)sets W Enpineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constniction. <br /> Directions: <br /> Fill ou[application completely. <br /> Owner 8 ConVactor sign badc of application,rroterized <br /> If over SZb00,a Notice of Commencement is required. (A/C upgrades over i7S00) <br /> " Agent(for the contr�tor�or Power of Attomey(for the awner)would be someone with notarized lener from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Ony) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />