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813-� �-002o City ot Zephyrhills Nermit App�ication rax-�„-��u-���, <br /> Building Department <br /> Date�Received <br /> Phone Contact for Permittin __ <br /> Owner's Name g' (JL I`Y��� Owner Phone Number <br /> Owner's Address � �-� �/� 5"F•� ��337 Owner Phone Number � <br /> Fee Simple Titleholder Name �— Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F r � �� � 1r � LOT# � <br /> SUBDIVISION � , PARCEL ID# (�- 02 -a. -D -6 t 5� <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �/L � f rt.�r' �/� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> [_]BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $aas aL AMP SERVICE aDD � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> �1333 <br /> QMECHANICAL $ VALUATtON OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 51 �� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address ' License# <br /> ELECTRICIAN COMPANY _ CI-Cl1��II G C�/ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ,77 U 1 � 1 t ��j FL,�J'35`7� License# � �aZ —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# �— --� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# � —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <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,Constructlon Plans,Stormwater Plans w/Sflt Fence Installed, <br /> Sanitary Facilities 8�1 dumpster;Site Worlc Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 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 construcUon. <br /> Directions: <br /> Fill out apptication completely. <br /> o Owner 8 Confractor sign back of application,notarized <br /> If over s2500,a Notica of Commencement Is required. (A/C upgrades over s7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same <br /> OVER TNE COUNTER PERMITTING (Front of Applicatlon Onyr) <br /> Reroofs if shingles SevVers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />