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e�s-�saoozo City of Zephyrhills Pecmit Application Fax-813-780-0021 <br /> Building Department <br /> ' � Date Received <br /> Phone Contact for Pertnitting Z - �?�2 <br /> Owners Name ��y�.r� D M�K�► Owner Phone Number �l'3'��•�gd� <br /> �Z�{ ufll�V�p-�- �,'�IJ <br /> Owners Address T�CiF' r�i�(,5 Owner Phone Number <br /> Fee Simple Tideholder Name /) 4. I Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address Q.. I <br /> JOBADDRESS �V DL � P � GC. ���'� LOT# � <br /> SUBDIVISION (Lt�� GS��S PAI CEL ID# ��Z�ZI'OO''�D' - D�`D <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN NED FR�OM PROPERTYT�rice)DEMOLISH <br /> INSTALL RE AIR <br /> PROPOSED USE Q SFR Q CO M � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIONOFWORK �W UIl�E RLbF B� Fi (STL�IG S IrWw� �����E <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � `[•�Z SI�Qd <br /> TI1TTTrTTrTTrT � ITTrTITrTT�TITrT <br /> �BUILDING $ VALUA I ION OF TOTAL CONSTRUCTION $'L��i <br /> QELECTRICAL $ AMP S�RVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I <br /> (.. <br /> � <br /> PLUMBING $ ' � <br /> �� <br /> OMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION 9�;�� <br /> QGAS Q ROOFIN Q S�CIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FL�OD ZONE AREA DYES NO <br /> �i-��' I <br /> �� k�e�SRC.E Gt�E't�(, cw1L <br /> BUILDER � COMPANY <br /> SIGNATURE � � REGISTERED Y/ N FEECURRE� Y!N <br /> Address � G��� Q I License# � � g?b� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add►ess I 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 I License# <br /> _ IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1i11111 <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 dat . Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit�for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a�fe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit�for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for aIi NEW construction. <br />� ' 1--��.�F.�--F-. .I. .-.-.-..-r..-r�4-Ff-I-1-:-r.--.�..-r.-r�.-.-.--r�t.-FN-i- <br /> Directions:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of applira6on,notarized <br /> If over$2500,a Notice of Commencement is required. (AICI pgrades�ver$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)wol�ld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaGon Oniy <br /> Reroofs if shingies Sewers Service Upgrades A/C Fe ces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />