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City of Zephyrhills Permit Application Pox-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting P I <br /> I man 1=111rullial A A I I A a <br /> Owner's Name Q Owner Phone Number <br /> Owner's Address Co M 'DK M-P 3 Owner Phone Number <br /> 'Fee Simple Titleholder Name s-n me— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> (OBTAINED FR6m PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL REPAIR <br /> PROPOSED USE = , SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> BUILDING SIZE F_ SQ J FOOTAGE[�ZS� f4_'HEIGHT <br /> SUBDIVISION F-3i J\J f PARCEIL IDI# 2A 6tAo 61�()o o6-?-6 <br /> �--�BU|LDU«e <br /> �—� \0�LU/�lONOFTOTAL <br /> |—lELE[TRICAL AMP SERVICE �--� P�OG�EGG�NE�GY �—� VVJ�E(� <br /> ` <br /> =PLUMBiNG <br /> �—��ECHANk�\L MECHANICAL <br /> �---� VALUATION OF . <br /> | \�88 |—`�� 'ROOFING �—l � SPECIALTY [---� OTHER <br /> ��� . -__- ____ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I"V1 <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> Address License# <br /> PLUMBER <br /> SIGNATURE <br /> Address <br /> MECHANICAL COMPANY P"qvv5s'1kJe <br /> SIGNATURE <br /> xddmna <br /> OTHER COMPANY <br /> SIGNATURE <br /> E) I I a- <br /> REGISTERED FEE CURREN LIN <br /> »mdmos Liconea# <br /> uxxmmmxxxxnxmnxxxuxumxx`uxxxo �� Uunxuommmxxoxxxmuxxxxxoumx � xxxox � xux » <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(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atfach(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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumoster.Site Work Permit for all new projects.All commercial require rents 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 /> Ovmer&Contractor sign back of application,notarized <br /> If over*a5oV'a Notice pf Commencement isrequired. (VC upgrades over$75OO) <br /> ^° Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofsifshingles 8ewos Service Upgrades A/C Famcuo(PbUGumuy/Footogo) ' ^ <br /> Driveways-Not over Counter ifon public madvnayn..neednROW <br /> ' ' <br /> .^ . <br /> ' <br />