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, e�a�8aooz�, City of Zephyrhills Permit Ap ' 'ation ^ T� �-813-78�021 <br /> Building Department <br /> Date Received �, � � � _— ���f� <br /> Phone ConWct for Pertnit" rj3� -��-{L <br /> 1 �- <br /> Ownars Nama � e,-� Owner Phone Number 3 . $Q- <br /> OwnersAddress Owner ar $ - 8S-lly3 <br /> i <br /> Fee Simple Titlaholder Name Owner Phone Number <br /> Fee Simple Titlehaider Address <br /> JOB ADDRESS � � F ��2 LOT# p� <br /> SUBDIVISION PARCEL ID# 2 " <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER c W� S <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK :� rj <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> . QBUILDING $ ' VALUATION OF TOTAL CONSTRUCTION' <br /> ' ,QELECTRICAL�-; $ "• � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING , $ � l�V � <br /> , ..,. „ ; ,-= � � <br /> _. ._. ....__,.. <br /> QMECHANICAL $ VAI.UATION OF MECHANICAL INSTALLATION � _ Vl�C,V� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER 2 / /�yJ�(/�� <br /> ��'�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> � � <br /> BUILDER � ��' . �1 L COMPANY �_ �i����CY1O-1� _� ����'�, <br /> SIGNATURE �_� _ � ] REGISTERED Y/ N FEE CURREA Y/N <br /> Address 'cense# �- (� �� <br /> ELECTRICIAN COMPANY • <br /> SIGNATURE RECIs�Reo Y/ N FEE cURRen Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add ress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> �., <br /> OTHER COMPANY HG�le. er-�c�rmrancQ ���Qn�._ � <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> Address � ��'�e �'� ` <br /> 3 - License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllltlllltllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construcUon, <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)compiete 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. Requlred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet comptfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY required for all NEW constructfon. <br /> Directions.• <br /> Fill out application completely <br /> Owner&Contractor sign back'of application,notarized <br /> If over$2600,a Notice of Commencement is requfred. (A!C upgradas over$7600) <br /> " Agent(for the contractor)or Power ot Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />