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4�c, <br /> ulty of Zephyrhills Permit Application <br /> Building Department <br /> "DateRecelved Phone Contact for Permitting t <br /> 0 ow es am mb=rS��. <br /> wrier's 7Name rK Owner Phone Number <br /> O* wner Phone Number <br /> 'Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL REPAIR <br /> PROPOSED USE = SFR Comm OTHER F <br /> TYPE OF CONSTRUCTION F7V BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE __. ---__ - <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> �—�ELECTRCAL AM SERVICE �--\ PROGRE8GENERgY | | YV.R-EJ� <br /> ___ <br /> =P0kB\NG <br /> =MEoMANkJ\L MECHANICAL INSTALLATION . <br /> =GAS F—�� ROOFING SPECIALTY F7 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �O�PANY <br /> �lo��TU8� irk C, <br /> REGISTERED LY/�L� FEE Cux«E^ LY/N_J <br /> 0 <br /> Address License# <br /> ELECTRICIAN coMpxm, <br /> SIGNATURE nsa/urenso L��_�_� p�soone�x L���L� <br /> Address Licenoe# <br /> PLUMBE8 COMMPANr <br /> SIGNATURE nea/orsnco LY/ } 'rssounneK L)41 N I <br /> AddressLicense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED " i��/.m_] FEscunREa <br /> Address .) License# <br /> OTHER COMPANY <br /> a\o0/QURE Rsa/ersnso _Yi1N_I FEsnunRsN [_y/lN_]J <br /> Address License# <br /> nnmxxxuuxxxumuxnouxuxnx� mmuu �� � nuxummuxuxnmuuxxnunxxuunxxux � nxxxuon <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(1V)working days after submittal date. Required nnsite.Construction Plans, Stonnvater Plans*ySilt 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 oneite.Construction Plans,G/onnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpotar.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 for all NEW construction. ' <br /> Directions- <br /> F0nuiepp|icaUonnomp|ete|y. <br /> Owner&Contractor sign back of application,notarized <br /> x over$25oo.a Notice pf Commencement isrequired. (AIC upgrades over*7oUO) <br /> � Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rnmofs if shingles Sewers Service Upgrades A/C Fomme(P|oVOumey/Footage) <br /> Driveways-Not over Counter ifun public mad*ayo..noodnROW <br /> . <br />