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, _ �;�f���`� u �O ���� �'�� �- 31-v � <br /> ai�-�saoozo City ofZephyrhills PermitApplication Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Phone ConWct for Permitting � <br /> Owner's Name 7 1 Owner Phone Number —� — ��( � <br /> Owners Address � y �'1 f 1FF 7 �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 4�.e <br /> JOB ADDRESS y �� *y�j.� Z� ,I,, �� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK F �r — � � ,� /(� � r� LC c�� �(I� <br /> \ <br /> / f �C <br /> 6UILDING SI2E SQ FOOTAGE �(� HEIGHT <br /> Q BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> i vJ <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.0 <br /> 0 PLUMBING $ �� <br /> 0 MECHANICAL $ � �U VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS 0 ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY �/J L�, � <br /> SIGNATURE REGISTERED Y N FEE CURRENT Y/ <br /> Address ��/4 ��� S`�J+F.t� � qc �:�� License# �(7 L,(����� <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREM Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construdion, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWdion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUUCtlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Directions: <br /> Fill out appliwtlon completely <br /> Owner 8 Contrador sign badc of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over j5000) <br /> "' Agent(for the contreGOr)or Power of Attomey(for the owner)would be someone with notanzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgredes A/C Fences(PlotlSutveylFootage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />