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���� s � - <br /> �`�� <br /> siaaso-oozo City of Zephyrhills Permit App i io F a81376 � � t <br /> •-�"`+• j Building Department � � <br /> Date Recelved �� � ��� _'���� <br /> Phone Contact for Pertni ng <br /> 1 1 1 � 1 1 1 1 1 1 � 1 <br /> Owners Name � �... 'p-.� Ow �'O��9 <br /> Ownefs Address ��� �� Q V 1lj � 1--. Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple Titleholder Address <br /> JOBADDRESS „� l 3 � "1`C � VV�+ \ �^ �L� ���'1 LOT# � <br /> SUBDIVISION J�Ll�� �11`K� PARCEL IDq �3-� 6-a�-o t ao-��•-o�a o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSiR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK S L.� W J�Nt�l7Y C�f�ER��� a ,O�E H�� ��Z <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �]ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 7T <br /> QPLUMBING $ <br /> _ / <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALIY � OTHER � ��1�/� <br /> ir <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE� QYES NO <br /> / � <br /> BdILpER _ OMPANY <br /> SIGNATURE - R��cIs�RED Y/N FEE CURRE� Y/N <br /> Address �fn���License# �� <br /> Y.� � <br /> ELECTRICIA COMPANY A �S�l'il �j„�EC��R1T� �� ��� <br /> SIGNATURE RECIS�Reo / N F�cua�n Y/N <br /> Address +���~ � r fr��y�q <br /> License# L�`J w�dO <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuwx�n Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE �cis�r�o Y/N F�curx�n Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWcBon, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWdion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Enetgy Fortns.R-O-W Permit for new consWcfion. <br /> Minimum ten(10)vrorking days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requfred for all NEW wnstruction. <br /> DlrecUons:• <br /> Fill aut application completety. , <br /> Owner&Cantractw sign back of application,notarized <br /> If over a2500,a Notice of Commencement is requlred. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(far the owner)would be someone wifh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (capy of conVact required) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />