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a��-�saoozo City of Zephyrhills Permit Application F�-a���ao-ooz� <br /> , '° Building Department <br /> •Date Received , I, t d' ��_ 6� <br /> Phone Contact for Permitting <br /> -fl-i-l-I�r <br /> OwneYs Name �• C Q / Owner Phone Number -yr - y � <br /> Owners Address /�/J Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS S�o� I O �[ LOT# � <br /> SUBDIVISION PARCEL IQ/t �p� - b V� <br /> (OBTAI ED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSiR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUC110N d BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK D QA �.7 d �I7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> DING $ %��6 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��n � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( v <br /> .(U��( � <br />' OGAS � ROOFING Q SPECIALTY 0 OTHER (�/ �(R <br /> ! <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � <br /> BUILDER COMPANY C'D <br /> SIGNATURE REGISTERED Y/ N F�cua�n . Y/N <br /> Address �S� License# e � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE a�cISTEReo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 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 1 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 <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 submittal date. Required onsite,ConsUucUon Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary FaciliGes&1 dumpster,Site Work Permit for subdivisions/large 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,Stortrnrater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requiremen[s must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY 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 requfred. (AlC upgrades over$7500) <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 Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />