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City of Zephyrhills Permit Application Fo»n 3-780-O021 <br /> Building Department <br /> DateRec, Phone Contact for Permittin <br /> ownetr's Name owner Phone Number I ctci 2, <br /> Fee Sim pie Titleholder Name IS-ri XyLe— Owner Phone Number <br /> Fee Simple Title holder Address <br /> AN <br /> � <br /> ouBom1oxoN P/g«CELOD# <br /> (OBTAINED.ROM PY TAX--NOTICE) <br /> _ <br /> WORK PROPOSED eewcomsTn Aoo6ALT �---| SIGN �--\ [--1 DEMOLISH INSTALL �_] REPAIR <br /> PROPOSED USE �--1 � SFR �—� COMM F---| oTHB7 <br /> TYPE OF CONSTRUCTION rZ BLOCK �—1 FRAME �--� STEELBUILDING SIZE F_ SQ FOOTAGE E4�1 lZi HEIGHT <br /> N. <br /> �_�BU|LD|NG VALUATION OF TOTAL CONSTRUCTION <br /> [--lELE�T�|{�� AwP6ERVCE F--1 PROGR5GGENER8Y �—� YV.R,E.C. <br /> ___ <br /> =PLU| B|NG <br /> *� f03[—�lMECHANk�\ \CAL|NGTALLATON <br /> �—�GA8 F-2111, ROOFING F—1 SPECklLTY [--| OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - <br /> BUILDER COMPANY <br /> SIGNATURE nso/anEnso L_Il N_ Fsftcunnsx L_l/N_� <br /> xdd,oam Uuen�e# <br /> . .- . . / <br /> ELECTRICIAN COMPANY <br /> []S�A( Eledri C <br /> SIGNATURE ReomrEnEo 'y/ N1 ' peem)nes^ <br /> Address Licanan# [EE 0 oa <br /> PLUMBER COMPANY <br /> SIGNATURE REG/aneeEo 'FEEounR�ta I Y|1N_1 1­/ <br /> Address <br /> MECHANICAL <br /> SIGNATURE REGISTERED , �^�[�_1 —LL/N�_� <br /> Address � Unon9o# <br /> OTHER COMPANY <br /> SIGNATURE ns�/orsn�o L,1�_�_� FEsconmsx I _y/1__�� <br /> Addpoms6vu Uoonse# <br /> RESIDENTIAL Attach(2)Plot Plans;(%)sets of Building Plans;(1)set of Energy Forms;R-O4N Permit for new construction, <br /> Minimum ten<1O>working days after submittal date. Required onnihn.Construction P\ous'Stonnvater Plans v/Silt Fence installed, <br /> Sanitary Facilities&1dumpater;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(1U)working days after submittal date. Required nnoi0a'Construction Plans,Ghnnnvater Plans v/Silt Fence installed, <br /> Sanitary Facilities&I dumOster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT sets of Engineered Pkm. <br /> ""pRoPERrY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,nmmrized . <br /> If over*2sno^a Notice or Commencement isrequired. (AIC upgrades over$75oo) <br /> Agent(for the contractor)or Power of Attorne�(for,the owner)would be someone with notarized letter frorn owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> RamofsJshingles Severs Service.Upgrades A/C Fonney(P|ot/Sumey/FnotaQe) ` <br /> Driveways-Not over Counter ifon public madways.00edoROW <br /> ' <br /> - <br /> - . <br />