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eis-�so-oozo City of Zephyrhills P rmit Appiication Fax-813-780-0021 <br /> � � Building De artmenl <br /> Date Received Phone ContactforPe itting <br /> TlTrrr " <br /> Owners Name � (.��i�1J �� U�t° Owner Phone Number � � <br /> Owners Address (/Cl.S �7v 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � b �� � a �� LOT ii 0 <br /> SUBDIVISION �7 v �//`� V PARCEL ID# c�y a 6 r (`� d���^ �0 �� 7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW coN57R e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK � } �J/V � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> TITTTT�TIT}�TTrTTrTTrI"ITT TI"1"I�TTrTTt�TT1�TT�T�TT� <br /> �BUILDING $ /o�a Ur� VALUATION OF T TAL CONSTRUCTION <br /> � <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> OPLUMBING $ �� <br /> OMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � 1� <br /> J <br /> OGAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA DYES NO <br /> t-.-r.-6�-F:-�3-:-:-•-�-•-•-i-:-:-:--�•--•--r-�-'-:--•--.-.-.-�.-.�-.- ..ri-:-�-i-�:.1-�i-�:.r�.-.-i-:-�i-�T�.-r.--•-•- <br /> BUILDER COMPA Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y!N <br /> Add ress License# <br /> ELECTRICIAN COMPA Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP NY ��R�GGN � ! <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� /N <br /> Address �� � � 5�,� 3�t 67 y License# <br /> MECHANICAL COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111 <br /> RESIDENTIAL Altach(2)Plol Plans;(2)sets of Building Plans;(1)set of E ergy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days afler submittal date. Requi ed onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdi isionsAarge projects ' <br /> COMMERCIAL Altach(3)complele sets of Building Plans plus a Life Safet Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanilary Facililies&1 dumpsler Site Work Permit for all n projects.All commercial requirements musl meet compliance <br /> SIGN PERMIT Altach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructio . <br /> +{--I--4-1--1-I.d--1-1--1-1+{-1--1-1--1--F.1--1-6.�--F-F-i-1--1--4-1--1--F-1--1- F-i-{--f.-4-L-F-N-+-1.-1-1--{..4-1.-L-F-1--L-1--{-6.1-i-F+-1..4�-L- <br /> Directions: <br /> FiII out applicalion completely <br /> Owner&Contractor sign back of application,notarized - <br /> If over$2500,a Notice of Commencement is required. (AIC upgrade over$7500) <br /> " Agent(for the contractor)or Power of Allomey(for lhe owner)would be s meone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI USurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />