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� . g. � <br /> 813-780-0020 City of Zephyrhills ermit Application F�-a��-�eo-ooz� <br /> Building D paRment � � <br /> Date Received phone Contactfor P Ittin `'�'�� 2-�� - ��a0 <br /> �7-rr'T-rrr An <br /> Owners Name 1'�`0. �r�� Owner Phone Number ��✓' � �-�� JJ <br /> Owners Address Uc 1�1 I�+h S�e�� Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �J� I��� S�"{" LOT# �� <br /> I !, - . <br /> SUBDIVISION �Q�� � I� PARCEL ID v2 2�r°�� y ��� u�u� - GZ <br /> ,�,/ (OBTAINEO FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED B NEW CONSTR�ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �V� C�Vt� (�l�L�-R '�S�-LY'f�r '� a sola� wcN-eY T�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 1[�PLUMBING $ �OO ��� <br /> OMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION �`� <br /> QGAS Q ROOFING Q SPECIAL � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER COMP Y <br /> SIGNATURE REGIST ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMP Y <br /> . SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address cense# ` � <br /> PLUMBER ���� COMP Y � .{�t V U � <br /> SIGNATURE REGIST RED / N FEE CURREt�� Y <br /> Address ������ Q � ' I License# ��i�!i 1�J� <br /> MECHANICAL COMP Y <br /> SIGNATURE REGIST RED Y! N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMP Y <br /> SIGNATURE REGIST RED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111 <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. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subd visions/large projects <br />� COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safet Page;(t)set of Energy Forms.R-O-W Permit for new construction. <br />' Minimum ten(10)working days after submittal date. Requi ed onsite,ConsWction Plans,Stormwater Plans w/Siit Fence installed, <br />' Sanitary Facilities&1 dumpster.Site Work Pertnit for all n w projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY required for all NEW conslruc6o . <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requlred. (A/C upgrad over�7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appliration Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI tlSurvey/Footage) <br />� Driveways-Not over Counter if on public roadways..needs ROW <br />