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a��-�aaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received `� .�� � l l <br /> Phons Contact for Permiffin <br /> Owner's Name G 2.. Owner Phone Number , Z � <br /> `` r 7 <br /> Owners Address �,"� � Y � V C Cr �, `� Owner Phone Number <br /> Fea Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tideholder Address <br /> JOB ADDRES3 Q� �� i �� � � <br /> � Z LOT # <br /> SUBDIVISION PARCEL IDp r p. O <br /> (OBTAINED F� PRppER7y T nce) DEMOLISH <br /> WORK PROPOSED NEW CoNSTR ADD/ALT Q SIGN <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � > � � - ' T���� ��� \ y <br /> .,.- .� � < <,..w 1 <br /> BUILDING SIZE SQ FOOTAGE \ HEIGHT �� S �`\ Z p�,,1- �� <br /> QBUILDING $ G VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ 1 �'1�1��'�.� ��,�� � ��`� \� 7_k�. PZ <br /> �tl�l�- -l1`���ey ��� �t lol `'�` ( � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 's T-- � <br /> G � SP'�-� � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �) <br /> FINISHED FLOOR ELEVATIONS � L �" � C�� CJk�r J <br /> FLOOD 20NE AREA YES NO <br /> 3 u (� <br /> - � �l y 7� <br /> BUILDER l� � COMPANY <br /> SIGNATURE �A REGISTERED y Y/ N FEE CURRE� Y/ <br /> Address � � License # � <br /> ELECTRICIAN ��i ���SY 1-� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address <br /> License # <br /> PLUMBER COMPANY -� <br /> 31GNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Addreas License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Addras <br /> License # <br /> 11111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-0-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Woric pertnit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fortns. R-0-W Permit for new construdion. <br /> Minimum ten (10) working days after submittal date. Required onsite. Construction Pians, Stormwater Pia�s wr stit Fence instaueq, <br /> Sanitary Facillties & 1 dumpster Slte Work Permit for all new projecks. All eommercial raquirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Direetions: <br /> Fill oul application completely <br /> Owner & Contrector sign back of application, notarized <br /> If over S250p, a Notice of Commencement is requlred. (A/C upgndes over S7500) <br /> " Agent (for the coMrector) or Powar of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatian Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />