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�'s-��W10 Cit�of Zephyrhills Permit A lication <br /> � . Build(ng Department pp Fax-813-780-0021 <br /> Date Received C!� Z C _�L <br /> Phone Contact for Permittin <br /> Owner's Name 6� <br /> Owner Phone Number <br /> Odmer's Address 9� <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simpte Titieholder Addreas <br /> JOB ADDRESS � q�s /� I/�. z� <br /> LOT A� � <br /> SUBDNISION <br /> PARCEL ID�k <br /> WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> IPROPOSED USE � SFR COMM � <br /> TYPE OF CONSTRUCTION OTHER <br /> BLOCK �] FRAME [� STEEL [� <br /> DESCRIPTION OF WORK r �-- , ' <br /> � <br /> BUILDIN(3 SIZE SQ FOOTAGE� <br /> HEIGHT <br /> UILDING s � � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS EN <br /> _ I� W.R.E.C. <br /> OPLUMBING a , <br /> � ��� <br /> QMECHANICAL s VALUATION OF MECHANICAL INSTAL TION 1 � <br /> QGAS ,� ROOFING Q SPECIALTY �_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER � COMPANY l/7xj Z, ' <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address /�� �Q/ �r � , ��� <br /> Llcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas <br /> Ucense# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seta 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/Si�t Fence installed, <br /> Sanitary Fadlitles 81 dumpster;Site Work Permlt for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuction. <br /> Minimum ten(10)working days after submittal date. Requtred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster.Site Work Perm(t for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERYY S,11l�VE�'reyulr'ed fe5r all NEW construcUon. <br /> Directtons: ' a � <br /> Ftll out application completely. <br /> Owner 8 Contractor sign back of appHcallon,nota►ized <br /> If over i2S00,a Notice of Commencement is required. (AIC upgrades over s7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIN(i (Front of ApplitaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage "'~'�'�■�rr.�,,,� <br /> T.�d1AM�9J1 A�xt''�lAK� ....a",n;•�, <br /> �►ivewaya-Not over Counter if on public roadways..needs ROW tMiMi io�tg. �,.Q�,a�•,r,1t.N ��!��'�'�'.. <br /> �/0� �S hUl�3�u A, tt�^i, �� "F �• • <br /> s��'t�� y� v � ' `��1 . i; �► )• <br /> M� :r.�;;� a "`�N?'% . <br /> +urR <br />