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si�-�aaoo2o City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Received phone Contact for Pertnittin <br /> Owners Name p Owner Phone Number —f/G �� p <br /> Oxmers Address 1� I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � y Y l� I r' � !'�/ ,3S LOT# � <br /> SUBDIVISION ( PARCEL IDI� S� 'Z��O�ZD"DDOO O �fS f <br /> loeru�o Frm�weovexrv r�x Nonce� <br /> WORK PROPOSED e NEW CANSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCPoPTION OF WORK L I � //� C , � � <br /> BUILqNG SIZE �—� SQ POOTAGE �7 HEIGHT �� <br /> QBUILDING $ �� •D a VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,.f�j� � <br /> �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�curtrtEn Y/N <br /> Address License# �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE r�c�+s�rtEO Y/ N F�cura�n Y/N <br /> Addreas License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�c,�s�r�o Y/ N F�cura�n Y/N <br /> Address License t � <br /> MECHANICAL CpMppNy —� <br /> SIGNATURE r�r�sterx�o Y! N F�cuzr�n Y/N <br /> Address License f <br /> OTHER COMPANY �1 � C�-a Ti� . <br /> SIGNATURE REGISTERED Y/ N FeE CuRRen Y/N <br /> Address �����t �0/rCJ! �r Y�'[a,C. ,GL� License S <br /> 111111111111111111111111111 111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets W Building Plans;(1)se[of Energy Forms;R-O-W Pertnit for new construdion, <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Ptans,Stortnwater Pians w!Silt Fence installed, <br /> Sanitary Facili6es&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCl/LL Attach(3)complete sets of Buildinp plans plus a Life Safery Page;(7)set of Energy Forms.R-O-W Pertnk tor new oonstruction. <br /> Minimum ten(10)�wrking days after submittal dete. Reqie'red onsite,ConsWd'an Pl�s,Slamwater Plans w/Sitt Fence installed, <br /> Sanitary Facilifies&1 dumpster Ske Work Pertnil fa aN new projeds.All comme�cial requiremerrts must meet compliance <br /> SIGN PERMIT Attach(2)sets M Enpineered Plans. <br /> ""PROPERTY SURVEY requred for aq NEW constnx,tion. <br /> Direetrons: <br /> Fill out application completely. <br /> Owner&Contractor sign badc of appliption,notarized <br /> If over i2500,a Notice of Commencement is required. (A!C upgrades over f7500) <br /> `" Agent(for the conUactor)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 Ony) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/Footage) <br /> Driveways-Not over Counter'rf on pubNc roadways..needs ROW <br />