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8�3-���� �ity of Zephyrhills Permit Application Fax$��-�ao-oo2� <br /> Building Department <br /> Da1e Reeeived � / ���� <br /> ���� Z7 <br /> o�r:� o��.��N��. �` � ' 1 L <br /> Owner's Addrcss � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Pho�Number <br /> Fee Simpk Titleholder Addrcss <br /> JOB ADDRESS LOT# � <br /> SUBDMSION Rt+ �/ pARCEL�i '� " � OO�L.� • dOOO"0 <br /> (OBTANED FROM PROPERTY TAX N071C� <br /> WORK PROPOSED B NEw CorusTR� ADdALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> oescxtivrioNOFwowc dF 1�tl��eWS +LG �Ot 5/LG L <br /> BUILDINO SIZE �� SQ FOOTA�f`aE� HEIGHT � <br /> QBUILDING $ ` C Vt 6 VALUATION OF TOTAL CONSTRUCTION <br /> r <br /> �ELECTRICAI $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � <br /> i (�� � / <br /> QMECHANICAL $ VALUATION OF MECHANICAL WSTALLATION �` � � P lJ` V <br /> QGAS Q ROOFiNG Q SPECIALTY Q OTHER � ���� <br /> FINISHE�FLOORELEVATIONS FIOODZONEAREA QYES NO 1�1� <br /> � <br /> BUILDER � COMPANY �- <br /> SNiNATURE REGISTERED Y 1 N FEE CURREN Y J N <br /> Address License# � <br /> ELECTRICIAN � COMp/WY <br /> SIGNATURE REGISTERED V/ N FEE CURREN Y/N <br /> /�ddress License# <br /> PLUMBER � COMppNY <br /> SIONATURE RE615fERED Y/ N fEE CURREN Y/N <br /> Addrcss License# <br /> MECHANICAI. COMPANV <br /> SIGNATURE REGISfEREO Y I N FEE CURREN Y/N <br /> Addrcss � License# ,�y] <br /> 1 �r, <br /> OTHER COMPANY /7I�v G �� ` <br /> SKiNATURE �� REGISfERED Y FEE CURREN Y N <br /> �d� License# `f � <br /> 11111 � 111111111111 111111 11111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(t)set ot Energy Forms;R-0-W Permd for new constructbn, <br /> Minimum ten(10)worlcinp deys after submittal date Required onsi[e,Construction Plans,Stortnwater Plans w!Sitt Fence inslalled, <br /> Sandary Facildies&1 dumpster,SRe Work Permd forsubdivisions/large pro�ects <br /> OOMMERCULL Attach(3)complete sets of Buikfmg Plans pus a Life Safety Page;(1}set of Energy Forms R-O-W Permit for new construcLon <br /> Mimmum ten(10)vwrking days after suhmittal date. Required onsi[e,ConstrucUOn Plans,S[ortnwater P�ans w/Sil[Fence mstalled, <br /> SanRary Facildias&1 dumpster Site Work Pertnd for all new pro�ects All commexial reqwrements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> ""PROPER'fY SURVEY required for all NEW conshuction <br /> Diree6orK: <br /> Fill out application completely <br /> O�ner&Contractor sgn hack of application,notanz� <br /> H ovcr 52500,a NoBce of Commenceme�t is rcquircd. �AIC upgrades over i7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authonang same <br /> OVER THE COUNTER PERMITTING (Front of Application Onry) <br /> Reroofs rfshingles Sewers Serv�ce llpgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter d on puWic road�nrays needs ROW <br />