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�— <br /> e�aasaoozo City of Zephyrhills Permit Application FaX-e��-�saooz� <br /> • Building DepaRment <br /> • Date Received �j�� SJC�'i''��S� <br /> Phone Contact for Pertnitting o <br /> Owners Name ����✓[y J'�(,i Owner Phone Number O l 3 � g'`f�7�p <br /> i �/'/� /� p� <br /> Owners Address �b V� L{J � . Owner Phone Number /"/� <br /> Fee Slmple Tilleholder Name N �-- � Owner Phone Numher � � <br />� <br /> Fee Slmple TlUeholder Address N ✓�' <br /> JOBADDRESS y�d3 OL�• � rhi�� rC • 33�z LOT# � ¢ � <br /> SUBDIVISION J,I�f�S «� /-��L(� pARCELID# lu-a��ai-ovlo•d3y�- o6cD <br /> (OBiAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW coNSTR 0' ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL ` REPAIR <br /> IPROPOSED USE � SFR U COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��U A l.. �Q�{A L �'�J�� �CiLT <br /> BUILDING SI2E SQ FOOTAGE ���� � HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> —�. <br /> QELECTRICAL $ .— AMP SERVICE �PROGRESS ENERGY I/I W.R.E.C. <br /> ir—, `�� <br /> QPLUMBING $ �� <br /> �MECHANICAL $ ���SS VALUATION OF MECHANICAL INSTALLATION � �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �' l� <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES � � <br /> — 1174i1t9031iaoaoo � oo � YilQiQ—i-i <br /> BUILDER OMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# / ' <br /> ELECTRICIAN COMPANY // <br /> SIGNATURE REGISTERED Y/ N EE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br />'� - <br /> Address License# <br /> MECHANICAL ' COMPANY L .S� /`i'�N <br /> SIGNATURE REGISTERED Y N FEE CURREA Y/N <br /> Address 'a-�j�� e (Q�Cl� �}Q,/ License# ��J�iU "n17� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion. <br /> Minimum ten(10)warking days after submittal date. Required onsite,Constniction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• •��� � <br /> Fill out application completety <br /> Owner&Contraclor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades aver E7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (Front of Application Only) <br /> Reroois if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not aver Counter'rf on public roadways..needs ROW <br /> L <br />