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i . . . . <br /> ; . <br />, 613-780-0020 City of Zephyrhills ermit Application � FaX-ai�-�eaoozi <br />' � � Building De artment <br /> Date Recelved phone Contact for Pe Itting <br /> Owners Name ��:�-4-� �t���-G ��m���� Ownar Phone Number l?j J`^�7��"�r�� <br /> �,. • �SA- <br /> , Owners Address �� t3 s r�.�-r .���. CF� s�,� Owner Phone Numhe� <br /> Fee Simpte TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS J$��'/ I��� �y� LOT# � <br /> SUBDIVISION ' PARCEL ID# � �c�'�"'"r7-�^!�flJ 0'^'O L�,�OL�^^ b A.�� , <br /> (OBTAINEO FROM PHOPERTY TAX NOTICE) <br /> WORKPROPOSED NewcoNSTR ADD/ALT Q SIGN Q q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIO�F Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OP WORK C/���J L���� � ��� �,A�1°��'�+��Si.' f 'f 0� S Qr� <br /> BUILDING SI2E SQ FOOTAGE � `��. HEIGHT � <br /> �-rrr-errrr <br /> �BUILDING $ S��p'O VALUATION OF OTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ - �r � <br /> QMECHANICAL $ VALUATION OF ECHANICALINSTALLATION � b <br /> �` < <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER COMP NY <br /> SIGNATURE • ttecisT ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREA Y/N <br /> Address License Yt <br /> PLUMBER COMP NY <br /> SIGNATURE REGIST RED Y/N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMP NY � <br /> SIGNATURE REGIST RED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMP NY ���H� ��'���yl��� <br /> � SIGNATURE � REGI3T flEO N FEEC�RREt� N <br /> Atldress l 7�-!� •.�'�RIAi� 7�,!i7 L ��^"*� FL �"js"g'g License# � C "—��7 � <br /> IIIIIIIIIIIIillllllllllllllltlllllllllllllltllllllllllllllillllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permft for new conslruction, ' � � <br /> Minimum ten(10)working deys after suhmittal date. Reyu red onsite,Construction Plans,Slamtwater Plans w!Silt Fence Installed, <br /> I� SaMtary Facilities 8 1 dumpster,Sile Work Permit for sub ivisionsAarge projecls <br />, COMMERCIAL Altach(3)complete sets af Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-0-W Pennit for new construGlon. <br /> ' Minimum len(10)working days after submitlal date. Requ red onsite,Conswction Plans,Slortnwater Plans w/Silt Fence installed, <br /> Sanitary FaGllties&1 dumpster.Site Work Pertnit for all n w proJects.All commercfel requfrements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW construdlo . <br />� Dlrections:• '� <br />� Fill out applicalion completely <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over$2500,a Nodce of Commencemen[is required. (AIC upgrod s over 57500) <br /> " Agent(for the wntractor)or Power ot Attomey(far the owner)would be meone with notarized letter fiom owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(P oVSurvey/Footage) <br /> , Driveways-Not over Counter if on public roadways..needs ROW <br />