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-- --- ---- Uity of Zephyrhills Permit pplication Fax-813-780-0021 <br /> h Permit <br /> PP11 S Mj� <br /> Department <br /> i"Building Permitting <br /> ftment Depart <br /> Phone t for Permi - g <br /> Date Received ne Contact for Permitting 644.0-Mariklor -Com <br /> . . . . . . . . . . . . . . . <br /> .......... <br /> Ow er F <br /> Owner's Name nc- Ow er Phone Number Mot <br /> 7b�aopa,-R 343�—ow er Phone Number <br /> Owner's Address 11tco t_ F <br /> Fee Simple Titleholder Name C — Ow er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Wig, Zgoo.,lhq %1 LOT# <br /> J <br /> SUBDIVISION CaJ-,kt�j rba V-k_17gahu�4k6)ARCEL ID# ZG --2-k_-CM 0 ocs I el - Cstl ZZ <br /> OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT IGN DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR Q Comm == THER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME TEFL <br /> DESCRIPTION OF WORK W i affi <br /> BUILDING SIZE SQ FOOTAGE EIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CON' TRU CTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> TR. U <br /> =MECHANICAL ow VALUATION OF MECHANICA INSTALLATION <br /> =GAS ROOFING SPECIALTY F-7 THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> 14.41.4.4l.. .. . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> r\ <br /> BUILDER COMPANY c <br /> SIGNATURE REGISTERED JY/ N I FEE CURREN L11 N_J <br /> Address IMA67 License# Ea co,�9 c&2 <br /> ELECTRICIAN COMPANY P_1� 44e <br /> SIGNATURE REGISTERED I N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY U m <br /> SIGNATURE REGISTERED FEEICURREN '7/N <br /> Address S-4-f- 10M' k1I License# F—cr-cmn- o�- I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FtECURRENV YIN <br /> Address -510 -LbS4,- 6�_ W&, --wLS-3 License# FcA_c(,,33'�k <br /> ' 6 <br /> OTHER COMPANY jy-�r,\ D cl a <br /> SIGNATURE REGISTERED / N FEE CURREN Y/N -I <br /> Address =-+f-q?, b�e,� pod—&6 �NGS731 License# [cc <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms*R O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,& truction Plans,Stormwater Plans wt Silt Fence installed, <br /> R 3n <br /> 0 t ru� <br /> N <br /> I <br /> tio <br /> P n <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large pr Jects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set Energy Forms.R-6-W Permit for new construction. <br /> c' <br /> Minimum ten(10)working days after submittal date. Required onslte,Conn <br /> truction Plans,Stormwater Plans w/,qilt Fence installed, <br /> Sanitary Facilities&I dumpster.'Site Work Permit for all new projects.All c mmercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> -PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions" - - - - - - - - - - - - - - - - - - - - - - - - - -- <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with not rized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footag <br /> I <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />