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813 ado-0ozo.' City of Z,ephyrhills Permit Application Fax-e13-7e0-0021 <br /> Building bepartment' <br /> '. Date Received. <br /> Ph Contact for Permitting I — <br /> gal <br /> Owners Name Owner Phone Number Y _ <br /> Owners_Address�v'�'I1) l:�(�llk)S (� �. Owner Phone Number 77 <br /> Fee Simple Titleholder Name_ Owner Phone Number '. <br /> Fee Simple Titleholder Address . <br /> JOB ADDRESS:. ►1 r(.': LOT#. <br /> CA r� <br /> .'SUBDIVISION .. ARCEL ID# <br /> (OBTAINED FROM PROPERTY'TAX NOTICE)~ <br /> WORK PROPOSED NEW CONglk B' ADP/ALT- _ SIGN Q Q. DEMOLISH <br /> STALL. REPAIR <br /> PROPOSED.USE SFR: ' . 0 COMM" OTHER=' <br /> :. TYPE'OF CONSTRUCTION. BLOCK •Q. :_FRAME _ :_STEEL 0 <br /> DESCRIPTION OF WORK . . i( ' S!1 ,'-`�/ <br /> 'AnC,^eQ <br /> ilWQStC,Pe-�A <br /> P <br /> 'BUILDING SIZE SO FOOTAGE HEIGHT <br /> 0 $ <br /> • <br /> BUILDING <br /> AL <br /> (� . V UgTION OF.TOTAL CONSTRUCTION <br /> .. v <br /> =ELECTRICAL $. AMP SERVICE _ '_ PROGRESS ENERGY- = W.R.E.C:, <br /> ;=PLUMBING $ 3 <br /> ''MECHANICAL' $. - VALUATION OF MECHANICAL INSTALLATION ' <br /> =GAS . 0": ROOFING Q:"=SPECIALTY.Q' : OTHER. . <br /> �V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE-AREA =YES _ No <br /> -BUILDER : COMPANY <br /> . . . . - SIGNATURE. - 'REGISTERED. Y/N "FEE CURREN'. . Y/N <br /> .Address License# <br /> �f ELECTRICIAN. �'. COMPANY <br /> . . SIGNATURES .- - .''..REGISTERED -I <br /> ,Y/N FE C RREN Y/N - <br /> Address License# wo*1 3 -33b1� . . <br /> PLUMBER .. COMPANY' <br /> .. SIGNATURE ...REGISTERED. .Y/N .FFr CURREN .'Y/N. - <br /> Address'.. License#„ <br /> MECHANICAL . <br /> COMPANY <br /> .. SIGNATURE .- . .- - . . .REGISTERED Y/N "''FEE CURREN - 'Y/N• - - - . <br /> Address .. :License# <br /> OTHER:- L COMPANY U6 r•.(✓. ( y l <br /> . ... SIGNATURE" ' .. - -" "'REGISTERED.' . Y!N FEE CURREN Y/N .. <br /> .. �-1 .. <br /> Address r *mil; Q. License# V ' 7 Q. <br /> Ef.[[i.[.E■5■i[[■:[ .[[E [[ [:[ [_Inall-a.[[. ■[[■7:124■[.[[[[ l ,[_[[Ean-[ E[[ [:.[ [E[I[,[/[1. .' :. <br /> RESIDENTIAL ' 'Attach(2)Plot Pians;'(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,Sto_6w'ater Plans w/Si(t.Fence installed,. <br /> Sanitary.Facilities&1 duimpster,Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;.(1)set of Energy Forms.R-0 W Permit for new Construction. <br /> Min(mum ten'(10)working days after submittal date.Required onsite;Construction Plans,Stomiwater plans W/Si(t.Fence installed, <br /> Sanitary'Facilities&4 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 for all NEW•constuction. <br /> Directions:. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized _ _If over$2500,a Notice of Commencement Is required:(AlC-upgrades over$Mlle) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would-be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> 'Reroofs if shingles Sewers Service Upgrades rades A/C 'Fences PloUSurve/Foote e <br /> 9 .. (. .. . Y 9 ) <br /> Driveways=Not over Counter if on public.roadways..needs ROW :. <br />