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a���eo-oozo City o Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br />, , Date Received Pho e Contact for Permitting (7 � ' -/.:� I <br /> -rr�-r <br /> Owners Name 0 Owner Phone Number <br /> Owners Address 33� �N�Q C�, s � 0 Owner Phone Numher <br /> Fee Simple Titleholder�e Ln�� /'t�� � Owner Phone Number <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS 3-1 I D� �V Z ICa� A V�� LOT# � � <br /> SUBDIVISION G� GR�S PARCELID�f ����G' •Q�OD •ODO� •Q � <br />� (OBTAINED FROM PROPERTYTAX NOTICE) <br />, WORK PROPOSED e NEW CoNSfR� ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP110N OF WORK R� � � Q D �' <br /> BUILDING SIZE ((� SQ FOOTA E ��O � HEIGHT <br /> i QBUILDING $ DO 1- p d qLUATION OF TOTAL CONSTRUCTION <br /> � � <br /> QELECTRICAL $ MP SERVICE Q PROGRESS ENERGY Q W.R.E.� <br /> QPLUMBING $ ��� <br /> QMECHANICAL $ ALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGI57ERED Y/N FEE CURRE� Y/N <br /> i <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGIdATURE REGISTERED Y/ N �e cuwtEn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> OTHER COMPANY Res o�s�rx�nn�cr,� L(,�iS <br /> SIGNATURE GI TERED Y! N F�cuartEn Y/N <br /> Address �• 2 . � ( 3Lp/� License# <br /> 1 1 1 1 1 1 t 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 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building P ans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)woricing days after subm ttal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster;Site Wo Pertnit for subdivisionsllarge projects <br />, COMMERCIAL Attach(3)complete sets of Building Plans lus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after subm ttal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Wo Permit for all new projeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all EW construction. <br /> Directions: , I <br /> Fill out application campletety. � <br /> Owner 8 Contractor sign back of application,notarized <br /> If over Sz50D,a Notice of Commencement is required (A/C upgrades over$7500) <br /> t(fo contractor)or Power of Attomey(for the o er)would be sameone v✓dh notarized letter from owner aufhorizing same <br /> OVER CO R PERMITfING (Front of Applicati n Onty) I <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PbUSurvey/Footage) I <br /> Drivew Not over Counter if on pu6lic roadways..need ROW I <br />