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� e»-�eo-oozo City of Zephyrhills Permit Application Fax-813-7B0-0021 <br /> Building Departme�t <br /> Date Received ^/��� phone Contaet for Pertnitting �Z/ �T"f —Ol �V <br /> Owner'sName � /�j W��dIvY6d �IIXn IWL OwnerPhoneNumber 7�� —1 <br /> Owner's Address '�'C�2 [A(�l.�il.Lb'�-'� .I�u►I a.'� Owner Phone Numher <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � V LOT� � <br /> 5UBDIVISION PARCEL ID# r7�Z 5"2��o�,/�'����� �����J <br /> E�FROM PROPERTV TA%NOTIC� <br /> WORK PROPOSED e NEW CONSTR� ADDlALT � 5 GN Q Q DEMOLISH ' <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �I`S�Q.�� � U-� ��� u� , r <br /> BUILDING 51ZE SQ FOOTAOE HEIGHT � <br /> BUILDING� S ��J O fl VALUATION OF TOTAL CONSTRUCTION � „ �J g� <br /> l l! � V <br /> �LECTRICAL � AMP SERVICE Q PROGRESS ENERGV � W.RE.C. <br /> QPLUMBING � <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION.- � �� � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER /�F�" � . <br /> FINISHED FLOOR ELEVATIONS � . FLOOD ZONE AREA DYES NO � � <br /> BUILDER COMPANY <br /> SIGNATURE a�eiSreaEO Y/N �e cuwxEn Y/N <br /> Address License# <br /> ` VI � <br /> �, ! ELECTRICIAN � C � COMPANY <br /> �" SIGNATURE � REGISTERED Y/N FEE CURRE� Y/N <br /> l <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�cis�aeo Y/N F�cuw�n Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE r�cis o Y 1 N �cuw�r. Y/N <br /> Address License# <br /> OTHER ��U COMPANY I � Cx /vll..e,d <br />� SIGNATURE ��GTIT REGISTERED Y/N FEE en Y/N <br /> Address �� J�.(�yt(.(,/ JJ � j� License# �7��Q��� <br /> 111111111111111111111111111 111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0.W Permit for new construction, . <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes&1 dumpster,Site Work Permit for subdivisionsflaige projec[s <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consVUCtlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8 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 consWction. <br /> Diredioas:• <br /> Fill out application completely. <br /> Owner 8 ConUactor sign back af application,notarized <br /> if over$2500,a Notice of Commencement is required. (AIC upgredes over 57500) <br /> " Agent(for the contraclor)or Power of Attomey(for tha owner)would ba someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Fron[of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSUrvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />