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a��-�eo-oozo City of Zephyrhills P rmit Application F�-at�-�saooz� <br /> Building Dep rtment <br /> M Date Recelved phone Contact for Pe itting <br /> Owners Name Owner Phone Number <br /> . �)f� GL+1 <br /> Owners Address V C. er Phone Num6er <br /> Fee Simple Titleholder Name Owner Phane Number <br /> Fee Simple Tideholder Address <br /> JOB ADDRESS V C. LOT# � <br /> SUBDIVISION PARCEL IDq ' '� '"oR — — � <br /> (OBTAINED FROM PROP RTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK o�•��"� l�j�'��1 �� l.Q-� " l 11��I�i Yl- ��� C� 2 <br /> BUILDING SI2E � � SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � �� <br /> �MECHANICAL $2I /�� � VALUATION OF M CHANICAL INSTALLATION l <br /> J pR <br /> QGAS Q ROOFING Q SPECIALTY OTHER- � � �UC. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> BUILDER COMP Y <br /> SIGNATURE �cisre Y/ N F�cuwzEn Y/N <br /> Address License� <br /> ELECTRICIAN , � COMPA <br /> SIGNATURE �Gis� Y/ N �cURa�n Y!N <br /> Address License# <br /> PLUMBER COMP <br /> SIGNATURE � r�GIS� Y/N F�cuaaen Y/N <br /> Address License# <br /> MECHANICAL � COMP 1 CO�(� ({1t � <br /> SIGNATURE c�s� N �cuwx�n N <br /> Address � U License# <br /> OTHER COMP ' <br /> SIGNATURE �Gis� eo Y/ N F�cUw�n Y/N <br /> Address License# <br /> 11111111111111111111111111111111111 1111111111111111111111111111111 <br /> RESIDEN7IAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of En rgy Fortns;R-O-W Pertnit for new consWCtion, <br /> Mnimum ten(10)working days after submittai date. Requi d onsite,Construction Plans,Stonnwater Plans w/Sik Fence installed, <br /> Sanitary Facili8es 8 1 dumpster,Sfte Work Permit for su6di sions/large projeds <br /> COMMERCIAL Attach(3)complete sets of BuilJng Plans plus a Life Safely age;(1)set of Energy Forms.R-0.W Pertnit Tor new construclian. <br /> Minimum ten(10)woAting days after submittal date. Requi d onsite,Construction Plans,Stortnwater Plans w/Sik Fence installed, <br /> Sanitary Faafities 81 dumpster.Sile Work Permit for all ne projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> ""PROPERTY SURVEY required far all NEW consWcUon. <br /> Directions: � <br /> Fiil out application completely. <br /> Owner&Contractor sign badc of applicaGon,notarizad <br /> - If over SZ500,a NoUee of Commencement ls requlred. (A/C upgrades over;7590) <br /> " Agent(for the contrador)or Power af Attomey(for the owner)woutd be sa eone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) <br /> Driveways-Not over Counter'rf on puhlic roadways..needs ROW - <br />