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s��-�saoozo City of Zephyrhills ermit Application Fa�c-s�a-�aaooz� <br /> , Building D partment <br /> Date Received �O '� Phone Contact for Pe itting ) Z- �� <br /> Owners Name Su r►ri�s e Pro e���S Owner Phone Number ��`�� �O S ' I 9� <br /> Owners Address � S� �/ �r� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Num6er <br /> Fee Simple Titlehotder Address <br /> JOBADDRESS �Sa� Forfi K�n ��� LOT# � <br /> SUBDIVISION PARCEL ID/F 0 �^°��^a� ^ 0���^ ��0 0�— �V�d <br /> (OB7AINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSTR e ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR � <br /> � <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I� I� I I S . I � �/ � eG C� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT C� <br /> �UILDING $ 1�O� VALUATION OF OTAL CONSTRUCTION <br /> 1 � <br /> � QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. / �� <br /> V <br /> QPLUMBING $ � 2 �'� �f��'l_S <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION / !/J ,� ��� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER `� �r�f `��� �I������ <br /> FINISHEDFLOORELEVATIONS FLOODZO AREA QYES NO � e1K�-Ir��j9-/l '�Ce't'GI � L�i�i.1�C <br /> � �t-;l/,`e� �l.�c�n�C. <br /> BUILDER �C� b r'�o Pa FasfiPas�- n¢ TArnpa 3a ,LL�, <br /> SIGNATURE REGIS eo Y/ N r�cuw�en Y/N <br /> Address �j1 (�D � 1r� ��J�p�'7 License# ���ta <br /> ELECTRICIAN / M Y ��'�C�h <br /> SIGNATURE �cis Y/ N F�cuw�n Y/N <br /> Address License# <br /> PLUMBER COMP Y <br /> SIGNATURE REGI9TE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP Y <br /> SIGNATURE REGISTE ED Y! N FeECURREn Y!N <br /> Address License# <br /> OTHER I COMP Y <br /> SIGNATURE REGIS7E Eo Y/ N r�E cur�en Y/N <br /> Address License# <br /> I1111111111111111111111111111111111 Illlltlllltllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Senitary Facililies 8 1 dumpster,Site Work Pertnit for subdi'sions/larpe 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. Requir d onsite,ConsUUdion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site 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 for atl NEW construction. <br /> Directions: <br /> Fill out applica6on completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AJC upgrades over$7500) <br /> " Agent(for lhe contractor)or Power of Attomey(for the ovmer)would be so eone 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(Plo Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />