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P <br /> B1S-78(i-0020 F City ofZephyrhills Permit Application Fa:-813-780-0021 <br /> R Building Department <br /> Daft Received f, Phone Contact for Permitting r)slq Jc oZCg'J <br /> Owner's Name = Owner Phone Number <br /> Owner's Address 7F Owner Phone Number <br /> 'FooSlmpleTitlebolder'NBmo '�^ 'OcvnerPhonoNumbar ' <br /> h <br /> Fee Simple Titleholder Address <br /> f nn <br /> JOB ADDRESS y�� r LOT:! <br /> SUBDIVISION d •PARCEL-IDI! <br /> # (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR 8 ADD/ALT SIGN = OEMOLISH <br /> 4 INSTALL REPAIR <br /> PROPOSED USE f. Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTiON = BLOCK 0 FRAME Q ��STEEL <br /> `�Q <br /> DESCRIPTION OF WORK <br /> I <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> B <br /> UILDING E' F � VALUATION OF TOTAL CONSTRUCTION <br /> •=ELECTRICAL is AMP SERVICE 0 PP,OGRESS ENERGY .0 W.R.E.C. <br /> 5:25PLUMBING �F S <br /> =MECHANICAL k S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING -� SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ) <br /> �r <br /> BUILDER I COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREI, <br /> Address (. License g <br /> ELECTRICIAN COMPANY <br /> SIGNATURE i REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License it F <br /> t <br /> PLUMBER COMPANY <br /> SIGNATURE - REGISTERED N FEECURREN Y 1 <br /> Address <br /> — <br /> MECHANiCAL r COMPANY <br /> SIGNATURE fi6CtaTEnt:D Yr N reeeunRen YfN <br /> Address License d 7 <br /> t <br /> OTHER r, COMPANY _ <br /> SIGNATURE t REGISTERED I Y/ N FEECUiF Y/N <br /> Address ! License It <br /> Illtll111111;Illllltllllllillllllltllllllolllttll.rll! ! ! elt.11l11 � 11.11 <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,Construction Plans,Stormwater Plans w/Sill Fence Installed, <br /> Sanitary Facilities&1 dumpster:Site Work Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(2)complete Gets of Building Plana Plus a Life Safety Page:(11 set of Energy Forms.R-O-W Permit for nRw rnnsvni.I n <br /> Minimuhi ton(10)working days after submittal dGto. Required onailo,Conctrueiton Plano,StormwatorPlona w/Bill Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required forall NEW construction. <br /> Directions: p <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if ovor$R500,a Notico of Commoneoment(s required. (A/C upgradon over$7500) <br /> Agent(for the contract for)or Power of Attorney(for the owner)would be someone with notenzed letter from owner authorizing same <br /> OVER THE COUNTER PEItIV11TTING (copy of contract required) <br /> Reroofa if shingles Severs Seivice Upgrades AiC fences(P1utlSuiveylFootage) <br /> S <br /> Orivoways-Not over Counter if on public roadways..needs ROW <br /> I <br /> t <br /> t <br />