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(D IJ — 16v Uuv/ <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-013780-0021 <br /> Building Department (� �+�r <br /> Date Reached Phone Contact for Permitting `G� <br /> Ownsds Nametftma <br /> 1 ( L31 Owner Phone Number <br /> Owners AddressC'"-t`ieaS T2 fl i `' Owner Phone Number <br /> Fee Simple Thleh Owner Phone Number <br /> Fee Simple Titleholde Address <br /> JOB ADDRESS 31 I S I A I LOT# <br /> SUBDIVISION Srev) -'-ix PARCELID# Q3-ZAP-Al- I(00 -GOOuO — &S 70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADDIALT © SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRU ON Q (( BLOCK Q _FRRAME Q STEEL Q <br /> DESCRIPTION OF W RK A(C e G+� �'`� 7,�;-,) i Y SeGIL � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING I $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRIC $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANIC 5 [ S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = J ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR EL ATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEECURREn Y/N <br /> Address I License OF- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREh Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURRET LtLN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn Y/N <br /> Address License# <br /> OTHER. COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREA <br /> Address License# <br /> 1-1`f7-1111 f" 17"7"`fl`1'1"1"-1"T1"'IT"i'1-1`"1'TT"I I"fl1 Il 1 1 1-1 l"1"1 fl`1T7'1-1"`1 li'11-I1'i7-1"TI ITN"1'1 <br /> RESIDENTIAL r r <br /> tech(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fos;R-O-W Peft for new construction, <br /> ----------.----- -- inlmum-ten'(10)wxMng days•aitersubmhW date:-Required onsite,-ConsWellon Plans,-Stormwater Plane w/-Slit-Fence Installed---- - <br /> itary FedPoea 61 dumpster,Site Work Permit for subdiWalorlsAarge projects <br /> COMMERCIAL (3)complete sets of Building Plans plus a Life Be"Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Inlmum ten(10)worldling ng dap after,submittal date. Required onsite,Construction Plans,Stonnwater Plans w1 Slit Fence Installed, <br /> nary Facilities&1 dumpster.She Work Perftfor all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT eh(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Dlndlons: <br /> Fill out applies completely. <br /> Owner& ator sign back of application,notarized <br /> N over S2S00, Notice of Commeneemerrt is required. (AIC upgrades over$7600) <br /> Agent(for the tractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE CCU R PERMITTING (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DAveways-No over Counter If on public roadways-needs ROW <br />