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i <br /> a�a-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � " Building Department , <br /> Date Received b� Z�� _ <br /> Phone Contact for Pertnitting <br /> -rrrr b� <br /> Owners Name l��( B�K�l/ Owner Phone Number ��' 7w i 7�s� <br /> �� � A �y <br /> Owners Address ' Owner Phone Number <br /> Fee Simple Titleholder Name N AI Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS c�/ � �QGB !QD• LOT# G3 <br /> SUBDIVISION ��� PARCEL ID# O�' 'o��•O�D•�'Q�O�0 3O <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW cONS7R ADD/ALT � SIGN Q 0 DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE �� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK IvC'W �P �QF �IiIN � <br /> BUILDIN SIZE SQ FOOTAGE� HEIGHT � � <br /> UILDING $ � VALUATION OF TOTAL CONSTRUCTION qrf/�/��� � <br /> �bti° <br /> <<.ci�/ <br /> _ ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ 1 ��, ✓ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r�� ��V � <br /> � <br /> o (� �° �� ,.�-`as`'r� <br /> QGAS Q ROOFING Q SPECIALTY OTHER G <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � I.R� <br /> ---- - - ' ' '.�:��T�r.-....� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> OTHER �- r � OMPANY rl�G���(�6 E��K �LbF/••G <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� /Ni�!¢� � rLW D � F� 3��G License# 3�'�9 <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> D ctions:�TT^ �T�T�^ <br /> Fill out application completely. <br /> Owner 8 ConVactor sign back of appliration,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMII"fING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveyJFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � ` <br />