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UKyof ZephyrhillsPermit Application Fa»813-780-0021 <br /> 136liding Department <br /> Date Received -kOr�M- COM <br /> one Contact for Permitting <br /> Ph <br /> uwnersm Owner Phone Number <br /> �� <br /> Owner's re �/ Owner Phone Number <br /> 'Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeho|dor4ddrea <br /> JOB ADDRESSLOT# - <br /> . . <br /> F_ <br /> muBoPNaxzm pAQCELUo# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED wovcnmsm Aoo/ALT SIGN �—1 F—� DEMOLISH ' <br /> 2] INSTALL E REPAIR <br /> PROPOSED USE �--� oFR �-� COMM �--� OTHER <br /> TYPE OF CONSTRUCTION EZ BLOCK �-� FRAME F---� OTEEL <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> �--leUi�o|Wa <br /> �—� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTR|CAL AMP SERVICE F--1 PROGREG8ENERGY [—� vY.R.E.C. <br /> i >pLUMB|NG <br /> =MECHAN|C4L VALUATION OF MECHANICAL INSTALLATION <br /> |�|GAS F��� ROOFING F-� SPECIALTY [---| OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [--lYES NO <br /> BuiLoER COMPANY <br /> SIGNATURE nsGmnsmeo <br /> Address 110 License' . <br /> ELECTRICIAN COMPANY , <br /> SIGNATURE nso/ar�nso ` 'r��cOnnEN � <br /> Address Johlas Liuunse# <br /> PLUMBER COMPANY <br /> SIGNATURE n YIN _ 'rEECUAR�th YIN <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREDv ����---- <br /> FEECURREN ______' <br /> AddressUcense# <br /> OTHER COMPANY <br /> SIGNATURE nes/orsmso � <br /> ' ------- <br /> 4ddre, Licenoe# <br /> RESIDENTIAL Attach pA Plot Plans;(4 sets of Building Plans;(1)set of Energy Forms;R'O-w/Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new 'construction. <br /> Minimum ten(1O)working days after submittal date. Required onu|te.Construction Plans,Stonnva1 rP}ansvlG\\tFenoainota\lod. <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets nf Engineered Plans. <br /> ~°^°PROPERTY SURVEY required for all NEW construction, - <br /> Fill out application completely. ' <br /> Owner&Contractor sign back of application,notarized ' <br /> |f over$usoo,a Notice uf Commencement|srequired. (AJo upgrades over*7uVV) _ . <br /> ~° Agent(for the contractor)or Power of/ttome�(for the owner)would ho someone WiUhnotarized letter from owner authorizing oomo � <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> R,mms if shingles Sewers Service Upgrades A/C Faouem<P|ot/Gmmey/FootaQe> <br /> Driveways-Not over Counter ifun public madvayo,neadoROW <br />