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; s���eaoo2o City of Zephyrhills P rmit Application Fax-e�a-�ao-ooz� <br /> ` Buil�ng De artrnent ��v�S �SZ —'2 0 6 � � 3 3 6 <br /> ��R���� Phone Contact for Pe itdng � b�� <br /> Owners Name Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Plame Owner Phone Number <br /> Fee Simple TideholderAddress <br /> JOBADDRESS LOT# 17_18 � <br /> SUBDMSION I PARCEL IDt� <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CANSTR e ADD/ALT SIGN Q Q �EMOLISH <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 <br /> BUILDING SRE �� SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ,�1� v f� <br />' QMECHANICAL $ VALUATION OF CHANICAL INSTALLATION O � �` <br /> �1��N <br /> QGAS Q ROOFING Q SPECIALTY OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> � <br /> sui�oeR ���p(/u�q�Jf ,� . � �' COMP TLC ROOFWG LLC <br /> SIGNATURE (/ REC,�sTe D Y/ N �E CuRRFS Y/N <br /> Address PO BOX 1745 DADE CITY FL.33526 ucenses CCC1328205 <br /> ELECTRICIAN � COMP <br /> SIGNATURE REGISIE Y/ N FeE CUwtEn Y/N <br /> Address License� <br /> PLUMBER COMPA <br /> SIGNATURE REGIS7e D Y/ N �E cuR�n Y/N <br /> Address License# <br /> MECHANICAL COMPA Y <br /> SIGNATURE �GIS Y/ N FEE cURREn Y/N <br /> Address License� � <br /> OTHER COMP Y <br /> SIGNATURE aEGls� o Y/ N �cuw�n Y/N <br /> Address License# � <br /> 11111111111111111111111111111111111 11111111111f1111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Fortns;R-0-W Pertnit for new canstruction, <br /> Minimum ten(10)working days af3er submittai date. Requi d onsite,ConsWc6on Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitery Facilities&1 dumpster,Site Work Petmit for subd' sions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sefety age;(1)set of Energy Fortns.R-O-W Permit for new consUuction. <br /> Minimum ten(10)working days after submittei date. Requi d onsite,ConsUuction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitery Facilides&1 dumpster.Site Work Permit for all ne projects.All commericial requirements must meet compiiance <br /> SIGN PERMIT Attech(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> FiII out application completety. <br /> Ovmer&ConVador sign back of appliption,notarized <br /> If over$2500,a Notice of Commencement is requlred. (AIC upgrades over='f500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be so eane with notarized Ietter ftam ovmer aulhoriyng same <br />, OVER THE COUNTER PERMITTING (Front of Application Onry) <br /> Reroofs if shingles Sewers Servlce Upgrades A/C Fences(Plo SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />