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, at3aao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � � i3 �� _ � <br /> Phone Contattfor Permitting <br /> 1 1 1 1 1 1 1 1 1 1 1 7 1 <br /> Owner's Name I`�NC' /� ��S +�� Owner Phone Number <br /> Owners Address �94/ E'�'�m�l6a,�K � s� B�io pwner Phone Number <br /> , S/ -� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tkleholder Address <br /> JOB ADDRESS 3/�O� L' NG� / LOT / ��� <br /> SUBDIVISION ���n� Da� PARCEL IDM °��! 'JI "OQ3O �OOOQD " O7�U <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q � DEMO�ISN <br /> INSTALL REPA�R <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK A ORT <br /> BUILDING SIZE /O� /'� S� FOOTAGE ��� HEIGHT C� <br /> UILDING $ y5 oa VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAI $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,� (��� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ��(,�,�� � � COMPANY ��'�1 L:O/�I(��D� -� <br /> SIGNATURE REGISTFRED Y/ N FEE CURRE� Y/ N <br /> Address yt/o� / � Z(7/ License # S <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> PLUMBER �p�y�ppNy <br /> ` REGISTERED Y/ N FEE CURREA Y/ N <br /> Address <br /> License # � <br /> MECHlWICAL � � COMPANY <br /> SIGNATURE � REGISTEREO Y I N FEE CURREp Y/ N <br /> Address -� <br /> license # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y! N <br /> Address License # <br /> 111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new consVUCtion, <br /> Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary FaaliGes & 1 dumpster, Sile Work Pertnit for subdivisionsflarge projects <br /> COMMERCL4L Allach (3) complete sets of Building Plans p�us a Life Safety Page; (1) set of Energy Fortns. R-O-W Pertnit for new consUuction. <br /> Minimum ten (10) working days a(ter submitta� date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work PermN for all new projects All commercial requirements must meel compliance <br /> SIGN PERMIT Atfach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required fw all NEW construdion. <br /> Directions: <br /> Fill out application completely <br /> Owner & Contractor sign back ot application, notarized <br /> N over:2500, a Notice of Commencament is nquired. (A/C upgndes over 57500) <br /> " Agent (for the contrador) or Power of Attomey (for the owner) would be someone with notarized lerier from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Foolage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />