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a�o-rav-vucv city af Zephyrhills Permi#Application �aX szsaeo-ooz� <br /> Buitding Department <br /> � <br /> Date stec$ived j - Phane Contact for PermPtting <br /> � � � �r3^7 �3� �� <br /> Dwner's Name � r.S L�C�I-� Owner Phone Number <br /> .�- �— � <br /> Owner's Address - Ov�7 � r 4wner Phona Number <br /> Fee Slmpte Titlehoider Name �� I Owner Fhone Number �— � <br /> Fee Simpie Titlehoider Address - <br /> JOB ADDRESS O�+c� V � � � �� r LQT# � <br /> SUBDfYtS#ON � � PARCEL tD# <br /> (QBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SlGN Q Q QEMOLlS4i <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FF2AME 0 STEEL Q <br /> DESCRIPTIdN OF WQRK <br /> SUILDIN�SIZE �� � SQ FOQTAfE[_� HEfG3iT ��� <br /> QBUILDING �� VALUATION OF TOTAL CONSTF2UCT14N <br /> ELEC7RICAL ��� AMP SERVICE Q PRQGRESS ENERGY CJ W.R.E.C. <br /> QPLUMBING �s� <br /> [�MECHANICAL $ � VALUATION OF MECHANICAL INSTALIATION <br /> �GAS Q ROOFING [� SPECIALTY � OTHER <br /> =1NISHED FLOOR ELEVATI4NS �--��--� F1.00D ZONE AREA QYES NO <br /> 3UILDER GOMPANY <br /> >IGNATURE REGI8TERED Y/ N FEE CURRE� Y/N <br /> Address ��_—`�.��� License# � � <br /> ELECTRICIAN � GQMPANY <br /> iIGNATURE �iY REGISTERED Y/ N FE8 CURRE� Y/N <br /> Add�ass �icense# �^ � <br /> �LUMBER � COMPANY <br /> iIGNATIIR$ REG15TERED Y/ N FEE CURRE� Y/N <br /> Address �lcense# � `� <br /> �ECHANICAI. � � COMPANY <br /> �1GNATURE ( REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# � � <br /> iTHER COMPANY <br /> �tGNATtJRE REGISTERED Y J A1 FEE CURRE� Y/N <br /> Address License# � � <br /> :ESIDENTIAL Attach(2)Plot Ptans;(2}sets of Building Ptans;(1)set of Energy Forrns;R-O-W Permit for new construcBon, <br /> Mlnfmum ten{10}wotking days after submittat da#e. Requlred ansite,Construction Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facpides&1 dumpster,Site Work PermEt for subdivisionslfarge projects <br /> OMMERCIAL Attach(3)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-Q-W Permit for new constructton. <br /> Minimum ten{i0}working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> _ Sanitary FactlfUes 8-1 dumpster.Site Work Permft for a8 new proJects.-AI!cammerc3a!requlrements must meet compllance � <br /> IGN PERMIT Aktach(2)sets of Engt�eered Plans. <br /> ;*"PROPERTY SURVEY required for all NEW cansbvction. <br /> irectlons: <br /> Filt aut appNcatian comptetely. <br /> Owner&Contractor sign back of appt3cation,notarixed <br /> If over 52500,a Notice of Commencement Is requlrad. {A/C upgradas over$7500} <br /> Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> VER THE COUNTER PERMITTING (Front of Applicallon Only) <br /> eroofs if shingtes Sewers Servlce Upgrades A/C Fences(Plot/Suroey/Footage) <br /> Driveways-Not over Counter if on pualic roadways..�esds ROW <br />