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.� �\ <br /> a�3�ao-oozo City of Zephyrhills Permit Application Fax-61&780-0021 <br /> 7 Building Department � <br /> t <br /> Date Recelved Phone Contact for Pertnittin /d� - � o <br /> -7-1-1-7Z"TT /,,s� <br /> Owners Name Ld. � �l.e� Owner Phone Number ���"7�/�-�a�O�' <br /> Owners Address ,J'O �� L Owner Phone Number <br /> Fee Slmple TiUeholder Name /� ' / Owner Phone Num6er <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � �� � ��T� � I <br /> � �/a� <br /> SUBDIVISION )v\. PARCEL ID# -r�-�O' a�' O �- � (�� <br /> (OBTAlNEO FRON PROPER7Y TAX N0710EJ <br /> WORK PROPOSED e S ALL�B ,(�p RT � SIGN Q Q DEMOLISH <br /> I PR�POSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��y� L7 /(,C�' � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $� O� 2. � VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. <br /> � QPLUMBING $ 4 �q ` ` <br /> �� V <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFINCi Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> - BUILDER COMPANY J G � <br /> SIGNATURE r�cisT�n Y/ N � En Y/N <br /> Address License#. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE r�cisi�o Y! N �CuRREn Y/N <br /> Address License#� <br /> PLUMBER COMPANIf <br /> SIGNATURE �Gi5r�n Y/ N �cuwxEn Y!N <br /> Addre�s Llcense# <br /> ` ' MECHANICAL COMPANY <br /> SIGNATURE � r�cisra:m Y! N r�cuwx�n Y/N <br /> - ._ �wa� u��se# � <br /> OTHER COMP/WY <br /> SIGNATURE kEGisiatED Y/N �curu�n Y/N <br /> Address License# <br /> � � � � � � � � � � � � � � � � � � � � � i � � � � � i � � i � � � � � � � � � � � � � � � r � � � � � � � � � � � � � � � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnft for new construction, <br /> MiNmum ten(10)working days atter submitfal date. Required onsite.Constructian Plans,Stortnvrater Pians w/5itt Fence installed, <br /> Sanitary FaaliUes&1 dumpster,Site WoAc Pertnftforsubdivtsions/large proJects <br /> COMMERCIAL Attech(3)compfete sets of Bu�7ding Plans plus a Lffe Safety Page;(1)set of Energy Fortns.R-o-W Pertnit far new construction. <br /> Minimum ten(10)�wrMng days after submittal date. Required onsi[e,Construction Plans,Stormwater Plans w/Silt Fence(nstalled, <br /> Sanitary Fadifies 81 dumpster.SRe Work Pertnit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attsch(2)sets of Engineered Plens. <br /> ""PROPERTY SURVEY required for all NEW consWcdon. <br /> Diractions:• <br /> Fdl out appliption completety. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commeneement Is required. (A!C upgrades over 57500) <br /> " Agent(for fhe contraetw)or Power of AUomay(for fhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITl7NG (Front of ApplipUOn Oniy) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter rf on public roadways..needs ROW <br />