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. � s��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date RecNved I � Phone CoMact for Permitfin u 1�/ —�Q1 Z <br /> � - _� _ <br /> Ownar: Name Ownar Phon� Number ���� �� J ^ �JYJ"1 <br /> Owners Address � � Ownar Phone Number <br /> Fee Simple Tidehdder Name Owner Phone Nunber <br /> F� s�p� rm�,aae. �ea.� <br /> JOB ADDRESS 7 N LOT Y� <br /> SUBqVISION PARCEL IDY ✓ J � � ' � �J <br /> (OBTNNED FRON PItOPER'fY TAX N0710E) <br /> WORK PROPOSED NEW CorvSrR ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSiRUCT10N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK (J� <br /> BUIL�NG SIZE Sp FOOTAGE � HEIGHT <br /> QBUILOING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING b r ` C � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � <br /> � ���.�o • � ��5� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIONATURE rtECisr�o Y! N FEE CURRE� Y/ N <br /> �d� License # <br /> ELECTRICUW CpMp/Wy <br /> SIGNATURE ftECis�o Y/ N � cuixREn Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED V/ N FEE CURRE� Y! N <br /> Addresa License # <br /> MECHANICAL COMPANY � (x{1 �IIL �OIUTY)�� <br /> SIGNATURE r�ps�rs�o Y/ N r�E curu�n Y N <br /> �� License # ' � <br /> OTHER COMPANY <br /> SIGNATURE �cis7E�o Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllll <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) sel of Energy Fortns; R-O-W Permit for new consWction, <br /> Minimum ten (10) wortting days after submittal date. Required onsite, Cons6uctidi Plans, Stortnwater Pians w/ Sitt Fence installed, <br /> Sanitary Facililies & 1 dumps[er, Site Wak Pertnit for subdivisior�sllarge projects <br /> COMMERCIAL Attach (3) oomplete sets of Buildirg Plans plus e L'rfe Safety Page; (1) set of Energy Fortns. R-O-W Pertnit fw new construc[ion. <br /> Minimum ten (10) �wrking days after submittal date. Required onsite, Construdion Plans, Stortnwater Plans w/ SiR Fence insta�led, <br /> Sanilary Fadlities 81 dumpster. Site Wak Permit far all new projecLs. All commerciai requremeMs must meet compliance <br /> SIGN PERMR Attach (2) sels of Enginaered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWdan. <br /> Dvections: <br /> Fill out application competely. <br /> Owner 8 Contredor sign back of application, notarized <br /> If over 52500, a Notice of CommancernmA is required. (AfC upprades over 57500) <br /> " Agent (for the coMrac[or) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Onty) <br /> Reroofs if sFiingles Sewers Service Upgrades A/C Fences (PIaUSurvey/Footage) <br /> Driveways-Not over Coun[er if an pudic roadways..needs ROW <br />