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� � <br /> / • rax-tsis-itsu-uuzi <br /> 813-780-0020 City of Zephyrhills ermit Application , <br /> Building De artment <br /> Date Rece�ved , Phone Contact for Pe mitti�g �� � �� —�I <br /> .\ <br /> Owner's Name J����G� ����� �' Owner Phone Number �I —��� °' �-S �� _ <br /> Owner's Address � t�� y .�- Owner Phone Number � \��\ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 / �� ��1 �r ' LOT# � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> .1 <br /> PROPOSED USE � SFR Q COMM Q OTHER `'s� � ty�a�'' r <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ff v✓c. <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION.OF OTAL CONSTRUCTION <br /> �+.1�:� <br /> �ELECTRICAL $ 'f (?t� AMP SERVICE � PR96Rf��S ENERGY Q W.R.E.C. <br /> .3�� ' ' <br /> QPLUMBING $ �/�� � <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER (�3�� <br /> l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO - <br /> BUILDER COMP NY <br /> SIGNATURE REGIST RED Y/ N . FEE CURRE� Y/N <br /> Address ' License# <br /> ELECTRICIAN � � COMP NY �r� =zQ `-rcl»o� �I �«-�`�� <br /> SIGNATURE _��r'�Lz� REGIST RED Y/ N FEE CURRE� Y/N <br /> Address 3 ,�� ����� a.�v^. ��(�//� License# � � �.. <br /> ��5�6 <br /> PLUMBER COMP Y <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N ' <br /> Address License# <br /> MECHANICAL COM NY <br /> SIGNATURE REGIS RED Y/ N FEE CURRE� Y/N <br /> Address L.icense# � <br /> OTHER COM ANY <br /> SIGNATURE F2EGIS ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction,. � ; <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, , <br /> Sanitary Facilities&1 dumpster;Site Work Permit for sub ivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Saf Page;(1)set of Energy Forms.R-O-W Permit for new construction. ' <br /> Minimum ten(10)working days after submittai date. Req ired onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, , <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcU n. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner&Confractor sign back of applicaUon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgra s over a7500) <br /> ** Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences( lot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> , / <br /> � . <br />