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--- Ulty of Zephyrhills <br /> . Pe rmit <br /> p p l <br /> ication Pax-813-78 0-0021 <br /> Building D6Partment <br /> Date Received Phone Contact for Permitting <br /> ermitt- g)5 &AUC�Oi(V- CAV-kOifM,' conk <br /> Owner's Name Q Ow er Phone Number <br /> Owner's Address a(R0i=-TC'1CCu lxc )T 3 3 3T Ow er Phone Number <br /> Fee Sim ple'Titleholder Name Ow er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS al\4?- Su�ey- k)urA, Olin a. 7-PiAvi-hi th. LOT# <br /> SUBDIVISION PARCEL ID# 71-ok6o- 0%(3-no(o6 <br /> OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R E15 ADDIALT IGN DEMOLISH INSTALL REPAIR <br /> PROPOSED USE = SFR Comm 0 THEIR <br /> TYPE OF CONSTRUCTION BLOCK FRAME TEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE Lfn S -Uj �EIGHT F_ <br /> . . . . . . . . . . . <br /> "BUILDING VALUATION OF'TOTAL CON TRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICA INSTALLATION Je <br /> =GAS ROOFING = SPECIALTY = THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . ..1144- <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED FEE'-CURREN YIN <br /> Address Te,)f-cQLsa :t)'- License# <br /> ELECTRICIAN COMPANY Elerf—n- C <br /> SIGNATURE . ....... REGISTERED FEE CURREN Y-7 N <br /> Address j6hins ZOA:&AC License# 1E I S 0 63:1 IS <br /> PLUMBER COMPANY le phttob;A—C'—� <br /> SIGNATURE REGISTERED I-TY/ N 'FEE CURB itt, LY/N <br /> Address TOW License#--S361Z- T <br /> MECHANICAL <br /> COMPANY I -e' <br /> SIGNATURE REGISTERED i N FEE CURREN -tLy/N_J <br /> Address 5-q 0 7 I\w C An,.31 S-) License# 1 CA CC 33 �W 5 <br /> on t We <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# 1 C-cr :1 S 7 5-$3-3 <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,Con truction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large pr 'ects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set f Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Can truction Plans,Stormwater Plans wl Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects,All C mmerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <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 /> r <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo.t/Survey/Footag <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />