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�� , a�saso-0ozo City of Zephyrhills ermit Application Fax$�3'�80-002� <br /> � ' Building De rtment <br /> Date Reeeived "7-1�— �, phone Con�dfor Pe it6ng ��� ��� - 10��5 <br /> Owners Name �rl �l SS�G� Owner Phone Num6er �j °�r.(�J"'Z�� <br /> Owners Address ��O' �� � �''.� I� Owner Phone Number ��3°���"I L � <br /> I Fee Simple Titleholder Name Owner Phone Numher <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �-`�� �� �� � ��� LOT# '!+ <br /> SUBDMSION �� Cl�� PARCELtD# 1�'�G'z'L' o��Q���'bL«✓ <br /> (OBTAINED FROM PROPERN TAX NOTC� <br /> WORK PROPOSED NEw coN57a ADD/ALT SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE � SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK � � — vN�l r ��'1' � <br /> BUILDING SIZE SQ FOOTAGE HE(GHT � <br /> QBUILDING $ VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �CHANICAL $ 7?� VALUATION OF ECHANICAL INSTALLATION (�j�� / <br /> J �� (/ <br /> QGAS Q ROOFING Q SPECIALN OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES � I� <br /> / � <br /> BUILDER COMP Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMP Y <br /> SIGNATURE REGI5fE ED Y! N FEECURREN Y/N <br /> Address License# <br /> PLUMBER COMP Y <br /> SIGNATURE � REGISTE ED Y/ N FEECURREN Y/N <br /> Address License# <br /> MECHANICAL COMP Y �L-����� <br /> SIGNATURE REGI5TE ED N FEE CURREN Y/N <br /> Address i �7�l. V� 'L License# G 1���� / <br /> OTHER COMP Y <br /> SIGNATURE REGI5TE ED Y/ N FEE WRREN Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 t 1 1 1 1 1 t 1 1 I 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-0-W Permi[for new construction, <br /> Minimum ten(10)working days after submittal date. Requir d onsite,ConsWction Plans,S[ormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permi[forsubdi sions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permi[for new construction. <br /> Minimum ten(10)working days after su6mittal date. Requir d onsite,ConsWction Plans,Stortnwater Plans w/Sitt Fence installed, <br /> Sandary Facili[ies&1 dumpster.Site Work Permi[for aIl ne projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY required for all NEW consVuctlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notiee of Commencement is required. (AfC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be so eone 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(Plo Survey/Footage) <br /> Drivevrays-Not over Counter iF on public madways..needs ROW <br />� <br />