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: <br /> 813-78��o City of Zephyrhills Permit Applicativn Fax�1&780-0021 <br /> . Building Departmer�t <br /> i <br /> Date Received Phorte Contact for Pertnittin <br /> OwneYs Name ��GLrs'�� � �a �-Yl 1� Owner Phone Num6er <br /> Owners Address �J��` � � � �' 1 � Owner Phone Numher <br /> Fee Simple TiUehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ���Ll7 � U'�— LOT S � <br /> SUBDIVISION , . S PARCELID� I "�� ��" �U�V`O`�'("U�''� 1 <br /> (OBTAINED FROM PROPERTV TAX NO710E] <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCiION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPiIONOFWORK �'e-� �a �Z--° r� Ol� (��5� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $, VALUATION OF TOTAL CONSTRUCTION <br /> QELECTR�CAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �/�.� <br /> QMECHANICAL $ VALUATION OF MECHANICAL 1NSTAlLATION ��6 V <br /> QGAS Q ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I <br /> I <br /> BUILDER COMPANY �J�� I <br /> SIGNATURE ( R�iSTe�eo Y/ FEECURREA Y!N <br /> i Address � (J� A Z,°• �' License# `�� � � <br /> ELECiRICIAN COMPANY <br /> SIGNATURE REGISTERm Y!N �cURREn Y/N <br /> �d� License� <br /> PLUMBER COMPANY <br /> SIGNATURE r�cisr� Y/N �cuaaen Y/N <br /> i Address License# <br /> MECHANICAL COMPANY <br /> SIGNA7URE a�cis�xm Y/ N �curtaen Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTFfiEn Y/ N FEE CURRE� Y/N <br /> Address �j��g <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1011111111 <br /> RESIDEM7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Mintmum ten(10)worldng days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets oi Building Plaru plus a LiTe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence inslalled, <br /> Sanitary Faalities�1 dumpster.Site Work Petmft for all new projects.All commerciai requiremetits rtiust meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY re�uired for alI NEVV cortstruction. <br /> . . <br /> Dlrectlons:• <br /> Fill out application compietety. <br /> Owner&Contractar sign back of application,notahzed <br /> IF over;2500,a Notice of Commencement is required. (A1C upgrades over 57500) <br /> " Agent(for ihe contrdctor)or Power of Attomey(for ihe awner)wouid be someone with notarized IeBer from owner authorizirx,�same <br /> OVER THE COUNTER PERMITf1NG (Front of Application Onty) <br /> Reroofs ff shingies Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) , <br /> Drlveways-Not over Counter'rf on publlc roadways.,needs ROW <br />