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I <br /> - s��-�eo-oozo City of Zephyrhills ermit Application Fax-813-780-0021 • /��� <br /> � � Building De artment �/ <br /> . r <br /> Date Recefved �'� d� O <br /> Phone Contact for Pe ittin <br /> Owners Name B ���0 �,l°�� �w�.. Owner Phone Number ���� � �� <br /> Owners Address �``[�Y rG 1'�Owner Phone Number <br /> Fee Simple Titleholder Name � Y �� � � C,�Owner Phone Number <br /> Fee Simple TiUeholder Address � U� }� �� �ICP� ('it <br /> II JOBADDRESS � �� � l{� LOT# � <br />, SUBDNISION PARCEL ID# l,J��L� —� I — �'4 /V °(,/VW —U�/�D <br /> (OBTAINED FROM PROPERNTAX NOTICE) <br /> WORK PROPOSED � NEW CoNSTR B ADD/ALT SIGN �� Q DEMOLISH <br /> INSTALL EPAIR <br /> PROPOSED USE Q SFR �COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK �� M�(�i1�1 1�l . I'� �(. s jJ� W Q`1 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S � VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ✓ <br /> OPLUMBING $ I" - � <br /> g�. ���� � / <br /> �MECHANICAL $ VALUATION OF M CHANICAL INSTALLATION �� `�n/\� I , �/ / <br /> �►��� '� •a�� //�'�)\/ ������� y�� <br /> QGAS Q ROOFING Q SPECIALTY OTHER CJ . � ry� `�(�V <br /> � � V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO �jI <br /> 1 .� ., <br /> s � ry /� � ��� <br /> BUIL'DER:: � ��r ' �COMP Y l �L (.rOfr\ �'� �r� <br />' SIGNATURE � �cisre o Y/ N �cuw�n Y/N <br /> r <br /> Address 1 V`Q�LJ � . � License# C� L Z Z l <br /> i ELECTRICIAN COMP Y <br /> SIGNATURE r�cis� o Y/ N FEE CURREt� Y!N <br /> Address License# <br /> PLUMBER COMP Y <br /> SIGNATURE REGISTE o Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP Y <br /> SIGNATURE r�cis� o Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMP Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after suhmittal date. Requir onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdiv sionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Fortns.R-aW Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Requir d onsite,ConsWction Plans,Stortnwater Plans wJ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all ne projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Diredlons: <br /> Fill out application completely. <br /> Owner&Contraclor sign back of applicaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (AlC upgrades ver 57500) <br /> " Agent(for the conUactor)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same <br /> OVER THE COl1NTER PERMITTING (Fmnt of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />