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" <br /> � 813;ieo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 ; <br />' , jl • Building Department <br /> p <br /> Date Received �f/a� � Phone Contact for Permitting • r �� – C) OO � <br /> Owner's Namll / �. 'e �/P� /�f Owner Phone Number � <br /> Q /� I <br /> Owner's Address � ��,� Nfv. � . �iC Owner Phone Number j <br /> I <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> I , I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��V �� dC�Z LOT# � <br /> SUBDIVISIOId - C�ffl��� ��J//l,/ � PARCEL ID# �"�` �`�' `�'" �a��-DODOD.�',��0 � <br /> � <br /> (08TAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � <br /> , <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK /(� S���U <br /> I � <br /> BUILDING SIiZE SQ FOOTAGE� HEIGHT ' <br /> i <br /> N <br /> QBUILDING $ (�0�, aO VALUATION OF TOTAL CONSTRUCTION I <br /> 7 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � <br /> QPLI�JMBING $ � (�� <br /> t^� <br /> �-C <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAI Q ROOFING SPECIALTY OTHER i <br /> 0 0 <br /> FINISHED FLIOOR ELEVATIONS FLOOD ZONE AREA QYES NO I <br />� I <br /> BUILDER � °– COMPANY �ClJ/,V� I <br />' SIGNATURE ('�+�- . REGISTERED Y/ N FEE CURRE�. Y/N , <br /> Addressl License# <br /> ELECTRICIAN COM PANY <br /> SIGWATURE� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Cicense# � <br /> PLUMBER. COMPANY <br /> SIGNATURE REGISTERED Y�/ N ' FEE CURRE� � Y/N <br /> Address� " License# i <br /> MECHANICAL COMPANY � <br /> . SIGNATURE REGISTERED � Y/,N FEE CURRE� Y/N <br /> . - �. _ . <br /> Address _-L-icens,e# � <br /> - ,�: � .. , ., <br /> O'THER'� ' �, COMPANY <br /> SIGNATURE;; REGISTERED , Y/_N-, . FEE CURRE�' , Y./N <br /> � Address _ ` - License# <br /> RESIDENTIAL Attach(2).Plof P.lans;(2)sets of Building=Plans;(1)'set of�Energy Forms;ft,0-W Permit for new:construction, <br /> �; ,; Minimum.:ten(:10)working'.8ays aftecsubmittal date. 'Requiretl�onsite�Construction Plans,Stormwater Plans w/Silt Fence installed, � <br />� ,� �� Sanita,ry Facilities&�1�.dumpster;Sife Work Permit for subdivisions/large projects. - <br /> COMMERCIAL Attach(2)`complete sets of BuilBing Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> ' Sanitary Facilities&1 dumpster.,Site Work Permit forall new projects.All commercial requirements�must meet compliance i <br /> SIGPI PERMI� i4ttach(2)sets of.EngineerecJ Plans. � <br /> ""PROPERTY SURVEY required for aII.NEW construction. i <br /> ___� . _. _ I <br /> Di�ections: ,:: -. � <br /> I Fill out application completely. ; <br /> , Owner 8��Contractor sign back of.application,notarized i <br /> If over$2500;a Motice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(fo�tHe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> ��OVER THE COUPITER P.,ERMITTING (copy of contract required) <br /> Re�oofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewai s-Not over Counter if on public roadways..need's ROW <br /> � <br /> � <br /> I --- II– —.._. _ <br />