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: <br /> a�a-�ao-0ozo City of Zephyrhills Permit Application Fax-s��-�eo-ooz� <br /> • , Building Department <br /> T � <br /> Date Reeeived 5��q- ( Phone Conqct for PertnitUn O� "1 - G- l <br /> Ovmers Name J Oh H r er Owner Phone Number �1 3� �J" �� <br /> Ownels Address ��� V� � Owner Phone Number <br /> Fae Simple Titleholder Name Owner Phone Number <br /> Foa Simple Titloholder Address <br /> JOB ADDRE33 �� � (� I� LOT ti �J <br /> SUBDIVISION l�Y l ,4LV ���5 PARCEL ID7� �J-2'S'21' " V O��J"V �� <br /> ' (OBTAINED FROY PROPERTYTAX NOTIC� <br /> WORK PROPOSED NEW CoNSTR ADD/ALT � SIGN Q Q DEMOUSH <br /> : INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCiION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Vyl I � C�(Y1 �i��. <br /> BUILDING SIZE SQ FOOTAGE� FIEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBING $ ,r� <br /> (��b <br /> . 1/ <br /> � <br /> �MECHANICAL $ - VALUATION OF MECHANICAL INSTALLATION \ <br /> � <br /> QGAS Q ° ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY '-� <br /> �G�T�� REGISTERED Y I F�CoRRen Y/N <br /> I ' <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � Recisr�m Y/ N F�curu�r. Y/N <br /> �d� License# <br /> PLUMBER � COMPANY <br /> �G�n� REGISTERED Y/ N F�curtf�n Y/N <br /> - <br /> �d� License# <br /> MECWWICAL COIAPANY �Qm r� �a.G � <br /> SIGNATURE REGISr�rt� Y/N �CUaaE Y!N <br /> Addreas LU es License# ' <br /> OTHER COMPANY <br /> SIGNATURE RECISr�� Y/N �cuaaen Y/N <br /> �d� License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIt111111111111111111111111111111t1111111111 <br /> RESIDENTIAL Attach(2)Piot Pians;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W PertnR for new consVuction, <br /> Minimum ten(10)working days after submittal tlate. Required onsite,ConsWction Plans,Stormwater Plans w/SiR Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsllarge projects <br />� COMMERCIAI. Attach(3)compiete sats of Building Pians plus a Life Safaty Page;(1)set of Energy Fortns.R-aW Pertnd for new wnsWction. <br /> M(nimum ten(10)vwrking days after submittal date. Required onsite,ConsUuction Pians,SWrmwater Plans w/Sik Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnft for all new projects.All commercial requirements must meet compliance <br /> SIGN PER1VlIT Attach(2)sets of Engineered Pians. <br /> •"'PROPERTY SURVEY required far all NEW consWcfion. <br /> Dlrectlons: <br /> Fill out apptication campletely. � <br /> Owner&CoMractor sign back of apptfcation,notarized <br /> If over S2b00,a Notiee of Commeneement Is required. (A/C upgrades over 57500) <br /> " F�qent(for the cord2ctor)or Power ofAttomey(for the owner)would be someone with notarized letter from owner authorizing same \� <br /> OVER THE COUN7'ER PERMITfING (Front of Applfcation Only) `��� I <br /> Reroofs if shingles Sewers Seririce Upgrades A/C Fences(PIoUSunrey/Footage) <br />' Driveways-NOt over Counter H on putilic roadways..needs ROW <br />