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:�,�_ <br /> i <br /> ' ' a�aaso-oozo City of Zephyrhills Permit Application Fax$13-780-0021 <br /> B��lding Departrnent <br /> Date Received phone Contact for Permittin <br /> Owners Name '� , r I Owner Phone Number � ' o O �Z��Cf <br /> Owner's Address � `-1 i L in I I Owner Phone Number <br /> Fee Simple Tltleholder Name , � Owner Phone Numher <br /> I <br /> Fee Simple Titleholder Address <br /> JOBADDRESS '-i�l L� CC� �I�C_ Ze C I/C.� �S LOT# � <br /> SUBDIVISION PARCEL ID� � - ' I r v � � � <br /> I (OBTAINED FRON PROPERTY TAX NOTIC� <br /> WORK PROPOSED NEW CONSTR ADD/PLT � SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIIR <br />, PROPOSED USE Q SFR Q COM�A Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRA�IE Q STEEL Q <br /> �ESCRIPTION OF WORK � I� <br /> BUILOING SIZE � � SQ FOOTAGE� HEIGHT � <br /> � <br /> �BUILDING S IG ' L�O VALUATIONOFTOTALCON5TRUCl10N <br /> �J . <br />, QELECTRICAI $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBINO $ ���0 <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �L <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLO i D ZONE ARE11 QYES NO <br /> BUIIDER COMPANY P(7L��\� � 1'CC�JT�`l W <br /> SIONATURE � �ECisr�o Y/ Pl � uw�n Y/N <br /> Address V ' I� License# CCC�5 �J <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNANRE r�cisr�o Y/ N �cur�en Y/N <br /> Address I License# I <br /> I <br /> PLUMBER 60MPANY <br /> SIGNATURE �cisre�o Y/N r�cuaa�n Y/N <br /> Address I License# <br /> I <br /> MECHANICAL COMPANY <br /> SIONATURE f#EGISTERED Y/ N �cuw�n /N <br /> Address I License# <br /> OTHER OdIPANY � <br /> SIGNATURE �Gisr�En Y! N FEECURaEn Y/N <br /> Address I License# <br />' IIIIIIIIIIIII � IIIII � IIIIIIIIIIf1�II11 � 111 / II1�1 � � 1 � 11111111111111f1111 <br /> I RESIDENTIAL. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set af Energy Fortns;R-0-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittat date.IRequired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facil'dies 81 dumpster,Site Wark Permit for subd'msionsJlarge projects <br /> COMMERCIAL Attach(3)complete seGs of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit far new construction. <br /> Minimum ten('10)working days after submittal date.IRequfred onsite,Constniction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Wo�1c Pertnft for all new projects.AII commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> .I. <br /> DiraMions:• <br /> F01 out application completely. <br /> Owner&Contractar sign back of applicatlon,notarized <br /> If over 52500,a NoBee of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)woul�be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITl7NG (Front of Applica6on Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen s(PIoUSurvey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />