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$�s-7so-oo2o Ciky af Zephyrhills F'erm�t Hppncauu�i • -:� _ — <br /> , . 8uilding Department ��./ c 2/ <br /> dd .JcJ <br /> Date Received Phone Contact for Permitting � �� "' � <br /> Owner's Name �T�"'��""`� �"���d� Owner Phone Number <br /> �'�3 �+�--`��i <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ���� ���-� LOT# 7 � �CJ �/ <br /> JOB ADDRESS Y <br /> SUBDIVISION • VT � A� f�`/u-`� PARCEL ID# �/-a 6 - - od�0 -�5�� -�� <br /> --�-T v (OBTAINEU FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR � ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL Q OTHER� <br /> DESCRIPTION OF WORK �✓'���� '`*"�� ���� <br /> BUILDING SIZE ����a �C�� SQ FOOTAGE �I�A� HEIGHT <br /> � BUILDING $�� �� � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL � � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> -i � <br /> � PLUMBING $ _�,,,__ � b ���� pASCO PERMRSERVIC;rr <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION {g������-5314 <br /> � -- -� FAX 1-F36b-;>.;�i��A94 <br /> � GAS � ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS �F�LOOD ZONE AREA DYES �NO <br /> BUILDER �yr�l <br /> � ` ' , COMPANY �� V � ��N ~ �� <br /> SIGNATURE -��-- /��L���`�"�f REGISTERED Y/ N FEE CURRENT Y/N <br /> Address c3 �G�` � � � �J Y� License# <br /> ELECTRICIAN � � COMPANY �C�J/�-� �����`� ���� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address sqf�3 c�- /"' 7� ' Lfcense# �- <br /> PLUMBER COMPANY <br /> I � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL � � COMPANY ��r ��'(�� ���� <br /> SIGNATURE " REGISTERED Y/ N FEE CURRENT Y 1 N <br /> Address '��v� � /� ' License# �- � <br /> OTHER - :�. � - i COMPANY ���� <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRENT Y!N <br /> Address .�9d3 �� f ��' � • Ucense# <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of euilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*'"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <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 upgrades over 55000) <br /> '* Agent(for the contractor)or Power of Atiorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />