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s�sasa-nozo ' City of Zephyrhills Permit Applicatian , Fax-s�s-7aaaa2� <br /> � , Building Department <br /> Date Received R Phone Contact for Permitting -- <br /> �"�`�'t'�i <br /> Owner's Name �1�4'1 . �� Owner Phone Number <br /> tve�' "Z„ 2 <br /> e <br /> Owner's Address Owner Phone Number <br /> Fee Simpte Titlehaider Name Owner Phone Nurriber� � <br /> Fee Simple Tifieholder Address <br /> � t� —t� <br /> J08 ADDRESS �R'C 1 \ �2 t � �C}T# � <br /> sua��v�siou � — - - } � �.� PARC��ia# ,��2!p•`.�.� -bb2� -60500 �= ooc�a-- -- - - <br /> (OH7AINED FROM PROPERTY 7AX NUTIGE} <br /> WORK PROP4SED NEW CQNSTR ADD/ALT Q SIGN C] MOVE � DEMOLISM. <br /> e INSTAf.L e REPAIR <br /> PROPOSED USE Q S�R 0 COMM Q OTHER <br /> TYPE OF CONSi'F2UCT10N [� BLOCK 0 FRAME Q STEEL [� OTHEF2 <br /> DESCi21PTiON OF WORK �C.S;_. C� <br /> BUILDtNG S1ZE SQ FOOTAGE�_ � HElGHT �_`� <br /> � BUILDING � � VAL.UATiON OF TOTAL CONSIRUCTION <br /> � ELECTRICAL ��n�� � AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> L1 <br /> 0 PLUMBING � � �j� ����� � <br /> ..��„ <br /> � MECHANICAL � � VALUATION OF MECHANICAL INSTALLATION <br /> � GAS � ROOFING � SPECIALTY 0 OTHER <br /> F{NISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA �YES QNO <br /> BUILDER COMPANY <br /> SlGNATURE � REGts�RED Y! N �E CU�zRFNT Y/N <br /> Address License# �� � <br /> ELECTRICIAN CQMPANY �0.��'n � R C� �1� ` <br /> SIGNATURE REGISTERED Y I Id FEE CURRENT Y I N <br /> Address •�.� �3 � 3�5�, License# �..C,l�,ba I"3'�� <br /> PLUMBER COMPANY - <br /> SIGNATURE REGtSTEREp Y I N FEE C�RRENT Y I N <br /> Address License# �� —�� <br /> MEGHANICAL COMPANY <br /> SIGNATURE RECa1STERER Y I N FEE CURRENT Y/N <br /> Address License# � � <br /> OTHER COMPANY <br /> SIGNATUF2E REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �� � <br /> RESID�NTIAL Attach(2)Plak P(ans;(2)se#s of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcfion, <br /> Minimum ten(10)working days after submiktal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster;Sife Wark Permit for subciivisionstlarge pro]ecfs <br /> CQMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facififies&1 dumpster.Sife Wark Permit for al!new projecfs.All commerciaf requirements must meet camplisnce _ <br /> SIGN PERMIT Attaoh(2)sets of Engineered Plans. <br /> "'*PRQPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Pili out appiication campietely. <br /> dwner&Contractor sign back of application,nofarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> '* Agent{for the cantractor}or Power af tlttorney{for the owner)woulci be someane with na#arized IetteG from owner authorizing same <br /> OVER THE COUNTER PERMITf'ING (Front of Application Only) <br /> Reropfs Sewers Servlce.Upgrades AtC Fences{P1ot(SurveyiFootage) <br /> Driveways-Na#over Counter if on public roadways..needs ROW <br />