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d„-'��""1O City of Zephyrhills Permit App�ication Fax-813-780-0021 <br /> �i("���-���d �-� Building Department <br /> �O� Ip �f�SS w�'�'� Cirt,` -Zc l. rc,.,�\S <br /> Date Receivcd � M �r <br /> Phone Contact for PeRnittin � <br /> OMrner's Name 't- � '�Q,S Owner Phone Number <br /> Owner's Addresa � Owner Phone Number <br /> Fee Simple Titleholder Name -� Owner Phone Number <br /> Fee Simple Titieholder Address -. <br /> J08ADDRE33 b�O � ��O S� � (^��� f�- 33S1 LOT�k �� <br /> SUBDNISION D i'��w� �C Ow u PARCEL IDN � (o - Z� � (�a R-QQQ�Q ' �O � <br /> t�{�4�G (OBTAINED FR�OM pROPERTY T�rcEl DEMOLISH <br /> 1MORK PROPOSED NEW CONSTR ADD/ALT �� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Q�,�C� �('� � �� � ��S f�,�� [_ / S �� <br /> ..W.�. <br /> BUILDING SIZE s' SQ FOOTA(iE HEIt3HT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTIO t0 I�� � �� <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �� ► ��� <br /> QGAS Q ROOFING Q SPECIALTY [_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa License# -� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER 7 COMPANY �� � 1�.�,� <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Addross ( � til�i�+U rL ��j�.b License# � �S <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Permit for new construction, <br /> Mi�imum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater P�ans w/Silt Fence instailed, <br /> Sanitary Fadlitles d�1 dumpster;Site Work Pennit for subdivisions/large proJects <br /> COMMERCIA� Attach(3)complete sets of Bullding Ptans plus a life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)w�orkfng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary Facilitles d�1 dumpster.Sfte Work Permit for all new proJects.All commercial requirements must meet compliance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"•PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner 8 Confractor sign badc of applicaHon,notarized <br /> Ii over i2500,a Notice of Commencement Is roquired. (AIC upgredea over t7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)virould be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Drivewaya-Not over Counter if on publ(c roadways..needs ROW <br />