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1- <br /> � <br /> e�saeo-oozo City o Zephyrhills Permit Appli on nFax-813-780-0021 ��D Q. <br /> Building Department/}����j�,� �/J����T / Q <br /> /// L�il t� l�'/ / <br /> Date Received � <br /> Pho e ContactforPermitting <br /> Owners Name e rCi i7�� J� � �� Owner Phone Number <br /> Owners Address ��Q� �(f/� /�it � "• �� Owner Phane Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> t <br /> Fee Simpie Titleholder Address <br /> JOBADDRESS �J� � I( IVC� LOT# � <br /> SUBDIVISION PARCEL ID �jJ ^� �-��Qd��Q�j DU�0� � ���v0/-0i� ��a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW coNSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 1��T��� �O�JC � S t�/LL. <br /> BUILDING SI2E SQ FOOT GE� HEIGHT � <br /> �BUILDING $ ALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ MP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ECHANICAL $/1 �n/ VALUATION OF MECHANICAL INSTALLATION <br /> l/f �!E� <br /> � QGAS 0 ROOFING SPECIALTY 0 OTHER <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> � <br /> �a 1 BUILDER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEECURRE� Y!N <br /> q� <br /> \ Address License# <br /> \ <br /> ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL«- COMPANY D(x- d <br /> SIGNATURE��'---�'" REGISTERE� Y/ N FEE CURRE� Y/N <br /> Address � Q�. � � �v./Q� � License# (,���1�l���.� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 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 1 1 I 1 1 1 1 1 1 1 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 lans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanilary Facilities&1 dumpster,Site Wo Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plan plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Wo Permit for all new projecls.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all EW construction. <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 require . (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the o ner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applica ion Only) <br /> Reroofs if shingles Sewers Service Upgrades A/ Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..nee s ROW <br />