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� �,�-���-��1� City of Zephyrhills Permit Application FaX-e�a-�8o-002� <br /> Building Department <br /> �� <br /> Date Received p� <br /> Phone Contact for Permitttng p�� C(,� -- �2..rJ <br /> Owner's R1ame r����i Owner Phone Idumber <br /> Oumer's Address ��J Z c}� �1�q'�5 p�,-k� Obmer Phone Mumber <br /> . Fee Stmple Titleholder Name �- +°'�`� — Ovvner Phone Number <br /> Fe�5lmple Titleholder Address <br /> JOB AIDDRESS ��Jz c7�' ,� Gl,kVl YL�`I`J I� �j CJ"�lZ LOT# �� <br /> SUBDINISION PARCEL IDf# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOFtK PROPOSED . B NEW CONSTR 8 , ADD/ALT i� SIGN Q Q. DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> �YPE OF CONSTRUCTIORI � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �� �-�5 �� <br /> �UILDIMG SIZE SQ FOOTAGE HEIGHT <br /> OBUILDING ' ��� f �r� VALUATION OF TOTAL CONSTRUCTION � <br /> �Cv�� <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � 1�� � <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES /� <br /> \ <br /> BUILDER CO PANY <br /> SIGfdATURE RE STERED Y/ N � FEE CURRE� Y/N <br /> Address � License# <br /> r <br /> ELECTFtICIAN COMPAPIY <br /> $IGMATURE REGISTERED Y/ N FEE CURRE� Y/M <br /> Address License# <br /> PLUIMBER COMPAMY <br /> SIGIdATURE REGISTERED Y/ N FEE CURREP Y/1�I <br /> e4ddress License# <br /> MECHAMICAL COiWPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> \ � <br /> OTHER COMPANY �oc�c�n �Ul.�'�u OYtiS � � � <br /> SIGMATUItE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��� '`� �yP� �j c3 License# V���J� �p <br /> RESIDENTIAL Attach(2)Plot 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,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> - COMMERCIkL �Attach(3)campiete sets of Build(ng Plans plus a.Life Safety Page;(1)set of Energy Forms.R-O-W.Perinit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements,must meet compliance <br /> SIGR!PERMIT Attach(2)sets of Engineered Plans. <br /> •'"'PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requ(red. (A/C upgrades over 57500) <br /> '• Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> O!!ER THE COUNTER PERMITTING. (Front of Application Only) . , . , . - . <br /> Reroofs if shingles Sewers; `'ServiceUpgrades'N!G, Fences(PIoUSurvey/Footage) :- . .. • •. <br /> Driveways-Not ove�Counter if on public roadways..needs ROW � _ ,..' <br />� <br />