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o ` �s�aaeaoozo City of Zephyrhills Permit Application F�-si�-�eaooz� <br /> � Building Department � <br /> ; <br />� Date Received {3 I 3 ��3 �G�� <br /> Phone ConWct for Pertnitting <br />' OwnersName � .` �SNL�y �AZCplrwa OwnerPhoneNumber 8l3 — 3.73- (G .�.7 <br />� t—�: a 9 7N - �.T <br /> Owners Address J a � J�i�Fi Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS Sr��'� I��µ ST12E�LT L TO # � . <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> � INSTALL REPAIR <br />� PROPOSEDUSE Q SFR Q COMM 0 OTHER �Jg�Q10�2 ulL �aJ� <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME STEEL Q <br /> DESCRIP110N OF WORK CD JE�S � T� D12 ao�— S �—l �� <br /> BUILDING SIZE ��� S I r SQ FOOTAGE� HEIGHT � �_L[1��1 1 <br /> mBUILDING $ ' �0O VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> . <br /> QPLUMBING $ n ,_ � _ <br /> i �/f/` 1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (� C <br /> V <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER , � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO "���� <br /> � <br /> b��t� BUILDER �A� tt►Z � 7 \ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �9 5 i SLE£T License# <br /> � <br /> ELECTRICIAN �Q a(,�+ COMPANY <br /> SIGNATURE l 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 /> M\ . 1 <br /> ' MECHANICAL �. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> t111t111111111111t1111111111111111111i11111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of 8uilding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWCtion, <br /> Minimum ten(10)worlting days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsJlarge projects <br /> COMMERCIAL Attach(3)complete sels of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starmwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. I <br /> Directions:• <br /> Fill out applicaUon completely <br /> Owner&ConUactor sign back of application,notarized <br /> If over$2500,a Nodce of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from awner authorizing same <br /> OVER THE COUNTER PERMITIING (Front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) . <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br /> _ J <br />