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s��-�eo-aozo City of Zephyrhills Permit Application F�$��78�021 <br /> Building Departrnent <br /> n • D�te Received Phone Contact for PertniUing <br /> Owners Name �� Owner Phone Number �� ` <br /> Owners Address ��� f �r � Owner Phone Number <br /> Fee Simple Titleholder Name J s Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS �f��l t I l S LOT# � <br /> SUBDIVISION PARCELIQI� /- - 2!-ffQ D -0 A�—OlZO <br /> (OBTAINED FROM PROPERTY TAX NOTICEI <br /> WORK PROPOSED e NEw CoNSfR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � • � <br /> BUILDING SIZE S�FOOTAGE� HEIGHT �� . <br /> i � � � � � i i �� � r� � � � � � � � � � � � � �t� r�r�� r rr11T1'7TP7 <br /> QBUILDING $ VALUATION OFTOTAL CONSTRUCTION <br /> / /-b�0 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHE�FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE RECIS7ERED Y/ N . FEE cuRREP Y/N <br /> Address License� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISiERED Y/ N �cURREn Y/N <br /> Address License� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuRREn Y/N <br /> Address License# ' <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuart�n Y/N <br /> Addresa License# �� <br /> � / � <br /> OTHER COMPANY / <br /> SIGNATURE r�cis'ret� Y/ F cuw�n Y/N <br /> Address ,��� ��� ��(�(,�,Q��L,��� License� � , <br /> 111111111111111111111111 11 It 111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Pertnil for new constniction, <br /> Mnimum ten(10)worlcing days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w/Silt Fenca installed, � <br /> Sanitary Facilities&1 dumpster,Ske Work Pertnit for subdivisions/laige projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new consWction. <br /> Minimum ten(10)wo�tcing days after submittal date. Required onsite,Constivction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities 81 dumpster.Sile Work Pertnit for all new projeds.All commercial requiremerrts must meet compliance � <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> DlrecUons:• <br /> Fill out applicadon completely. <br /> Owner 8 Contrsdor sign back of application,notarized <br /> If over 52600,a Notice of Commencement is requlred. (A!C upgrades over E7500) <br /> " Agent(for fhe conUadar)or Power of Attamey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITftNG (Frnnt of Application Onty) <br /> Reroois if shingles Sewers Service Upgrades A!C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br /> III <br />