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y�,�'�, , <br /> �- <br /> a��-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 ��,( 'I <br /> Building Department � l� /� <br /> Date Received .�f Phone Contact for Permittin – <br /> � �� , <br /> � rrr r� r� i � r�i � f <br /> Owners Name � �d f J !� Owner Phone Number //3 <br /> Owners Address V• �` (� , Owner Phone Number <br /> 1 �� � <br /> �.iJCo�' � <br /> Fee Simple Trtleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (,�TX-F,S !�. �' LOT# � <br /> SUBDIVISION PARCEL IDN j� – C�� ' C�0 <br /> ����,,���/// (06iA1NED FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER O� S I i I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� I �A 7U r\1 S f YJ�J <br /> BUILDING S12E SQ FOOTAGE HEIGHT � <br /> QBUILDING S� ��� � VALUATION OF TOTAL CONSTRUCTION <br /> ��, � V <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. / �j/��� <br /> L� � <br /> �PLUMBING $ � � ���r ( <br /> �_yrQ ,Ly, <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION d ���r�• Nt�l/ �� <br /> QGAS Q ROOFING Q SPECIALTY OTHER �� � ���� <br /> 0 ��.�-�Z <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO `�Q/(,��� <br /> 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License* <br /> PLUMBER � � COMPANY <br /> SIGNATURE f�cisiErtEO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL Sl COMPANY <br /> SIGNATURE V REGISTERED Y/ N FEE CURREI. Y!N <br /> Address license#� <br /> OTHER `—"A COMPANY ��1�7�V� G�Q'V� <br /> SIGNATUR r a�cis7E�o Y/ N FEE CURREA Y/N <br /> Address '� �I)lE'f� License# [�.5�.� �� � lj � l: j <br /> 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 <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(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Worlc Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safery Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ' 1 1 1 1 1 1 1 ' 1 1 1 1 1 L.1 • <br /> Directrons:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is required. (A/C upgrodes over i7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />