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~'~-'""_u"4" City of Zephyrhills Permit Application Fa»8 3-78O-0021 <br /> Bull8ing Department <br /> . . <br /> Phone Contact for Permitting <br /> I I I-1-V IF_L 11—1 _IL a I a I I I A 71 1 1 1 A A A a a I A ! I a 1 -.1 A—A. <br /> Owner's Name ' �6 c�m �n c Owner Phone Number <br /> "Fee Simple Titleholder Name Own'er Phone Number <br /> Fee Simple Titleholder Address <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> JOB ADDRESS 7# LOT# <br /> (OBTAINED rROfA PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL L__J REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> ' <br /> 5i . . a A a . . . . I I a <br /> �--iBU�D�G VALUATION OF TOTAL CONSTRUCTION <br /> �--�ELECTRCA� AMP �--1 PROGREGOEN2RGY �—� VKR�I. <br /> �_-� <br /> =PLUMBING <br /> =MECMANICAL MECHANICAL INSTALLATION <br /> =GA8 [—�� 'ROOFING SPECIALTY � l OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> ELECTRICIAN COMPANY C <br /> Address 16S 9two License# [EE 0 039-1 S_ <br /> P�U���� �o�7xNY <br /> SIGNATUREnsa/ar�nso L_��_�_� r�ecunn�^ L_l��L_| `~ <br /> Address License# <br /> MECHANICAL <br /> SIGNATURE L —1 ` L��LNI_ pseounnEN [LLLN_J <br /> Address D License# <br /> OTHER cuMpxmr <br /> SIGNATURE nso/arsnso L_l/_N_J rEEoum~E^ LYIN_J~' <br /> Address License# <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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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(1U)working days after submittal date. Required onx)te.Construction Plans,Gtormvwatnr Plans v/Silt Fence installed, <br /> Sanitary Facilities&1 dumoster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(z)sets of Engineered Plans. <br /> °~**PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2aoV^a Notice of Commencement isrequired. (Vo upgrades over$750V) <br /> � Agent(for the contractor)or Power ofAttorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy uf contract required) <br /> Romofsifshingles Sewers Service Upgrades A/C Fenouu(P|oVSumey/FootoQ6) ^ <br /> Driveways-Not over Counter ifon public madvmyo..needuROW <br /> ' <br />