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�- _ _ <br /> ;� i . <br /> ' a�s-�so-oozo City of Zephyrhills Permit Application Fax-a��-�eaooz� <br /> Building Department <br /> � � . <br /> Date Received Phone ContactforPertnitting ��� /O O — �SJrS <br /> Owners Name Owner Phone Number ��3' /� - � <br /> Owners Address � � v�/�.G� Owner Phone Number <br /> Fee Simple TiUeholder Name �✓ A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S C7 TS � � STI`e�(. LOT# � <br /> SUBDIVISION PARCEL ID# ��"0�(0'o��'��/(7' 0 3p�Q ' ��$ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) . <br />, WORK PROPOSED NEW CoNSiR ADD/ALT Q SIGN Q Q DEMOLISH <br /> B ' INSTALL e REPAIR <br />, PROPOSED USE Q SFR Q COMM 0 OTHER <br />' TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK I � II�v <br /> � , <br /> BUILDING SIZE � Q F QTAGE HEIGHT C.� <br /> �"�"r- <br /> QBUILDING $ � �^O o ALUATION OF TOTAL CONSTRUCTION <br /> V <br /> i� <br /> QELECTRICAL $ � AMP.SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 7,���AREA QYES NO <br /> �� V <br /> -+- s-s-+— t-�-+— r�s.,s-o.-�r.-G-s-• o s o s + : � t i i 6 a o� a..a •_,.r^;_r:_:� <br /> BUILDER L`OMPANY GL� S L, �N �� <br /> SIGNATURE REGISTERED Y/ N FEE RRE� Y/N <br /> Address � ✓ License# C.� .��p 7�,,,� <br /> ELECTRICIAN �` � _ �j '�COMPANY � �2 �� �/��,i� L� <br /> SIGNATURE V�` REGISTERED Y/ N FEE CURREA Y/N <br /> Address �,/ {. � Z� ' License# �1�{/� 5 <br /> PLUMBER � •� COMPANY S C� � <br /> SIGNATURE REGISTERED Y/ N F CURRE� Y/N <br /> Address � V Cicense# �. ����j7�� <br /> MECHANICAL COMPANY <br /> ' SIGNATURE . REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllltl <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days aRer submittal date. Required onsite,ConsWction Plans,Stortnvrater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit 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 construction. <br /> - �--�—' �'-�-� � . <br /> Directions: <br /> Fill out application completely. <br /> Owner&ConVactor sign back of application,noiarized <br /> If over$2500,a Notice of Commencement is required. (AlC upgredes over$7500) , <br /> " Agen[(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />\ <br />