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1 <br /> � � � 5�`� ', <br /> aisaao-oozo / Ciiy of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depa7ment <br /> � i <br /> I Date Received � 'g��7 �C..P — � (� <br /> Phooe Contact for Pertnitling <br /> TrTf'ri—T�T ►TT'T <br /> i �^ <br /> Owners Name � Owner Phone Num6er � ��� �OI <br /> Owncr's Address 1 Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> � <br /> Fee Simple Tifleholder Address <br /> JOB ADDRESS � I •I I S T L LOT il � <br /> SUBDIVISION PARCEI IDp <br /> (OBTAINED FROM PROPERTY TA%NOTIGE) <br /> WORK PROPOSED B NEW CONSiR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK G�cn � ,/1 AG o.�o�G CG � �f�'�n0! 6 �iti /� ��0 } ��5� <br /> BUILDINGSIZE S�FOOTAGE� HEIGHT � <br /> OBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> I X IELECTRICAL $ � -��/Ou AMP SERVICE Q PROGRESS ENERGY Q �N.R.E.C. <br /> T� <br /> QPLUI,ABING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION O <br /> ���� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY ' <br />� SIGNATURE REGISiERED Y/N FEECURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � �J � COMPANY E�wT'�ul ��lyd' s �1� �^G• <br /> SIGNATURE REGISTERED Y/ N FEE CUR EA Y/N <br /> Address 8 N/�i iJ G-n. 4,/_L a.�p� License# �l300/(/D <br /> PLUMBER COMPANY � <br /> SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address License iJ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FE'c CURi3EA Y/N <br /> Address �cense# <br /> OTHER �COMPANY <br /> SIGNATURE REGIS7ERED Y! N FEECURRE� Y!N <br /> Address UcenSe r� ' <br /> 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I 1 I 1 1 1 1 1 I 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 1 1 <br /> I RESIDENTiAL A[tach(2)Pbt Plans;(2)sets of Building Plans;(1)sel of Energy Forms;R-0-W Permit for new consiruction, <br /> Minimum ten(10)working days after submittal date. Required onsite.Construction Plans,Stortnwater Plans wf Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit lor subdivisionsAarge projects <br /> COMMERCIAL Atlach(3j complele sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new conslruction. <br /> Minimum ten(10)working days after submitlal date: Required onsile,ConsWCtion Plans,Slortnwaler Plans w/Silt Fence installed. <br /> Sanitary Faciiities 8 1 dumpster Site Work Permit for all new projects.FUI commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY requlred for all NEW construction. <br /> Directions:• <br /> Fill out applicalion completely <br /> Ovmer 8 Conlractor sign back of application,notarized <br /> It over 52500,a Notice of Commencemont Is required. (A/C upgratles over 57500) <br /> " Agent(for the contracfor)or Power of Aflbmey(tor the owner)would be someone vnth notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMIT'fING , (Front of Application Only) <br /> Reroofs if shingles Sewers , Service Upgratles A/C� Fences(PIoUSurveylFoolage) <br /> Driveways-Not over Counter ii on public.roadways..needs ROW ' <br /> , <br /> _ . ...,_ -... , . �• , <br />