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s��-�saoozo City of Zephyrhills IPermit Application Fax-813-780-0021 <br /> - Building Dr,partment <br /> � <br /> , daYe Recaived (p I Z3 1,s phone Contaet Tor P'n emftting '��3 �'t CJ$ �8 3 <br />' Owner's Name L A M a Owner Phone Number �'►339�^ U Z37 <br /> Owner's Addrass 5�o Z S R'�SPE2 CT Owner Phone Number <br /> Fee Simple Titleholder Name N/� � Owner Phone Number <br /> Fae Simple Titleholder Address N�� <br /> JOB ADDRESS �(0 2�'j P2 D S P E Q � LOT# � <br /> SUBDIVISION SU�U T � '� 'rES PARCEL ID{8 I Z�2�°�Z� ��3 l0 —6Q000�0770 <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK R C�P L�G� � S A/+'1 E S�z� ��nJ�0 W S <br /> BUILDING SI2E SQ FOOTAGE C] HEIGHT � <br /> �BUILDING $ VALUATIONOFI€7TALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ , � <br /> OMECHANICAL $ VALUATION OF 169ECHANICAL INSTALLATION ��b �' �,��,Q� <br /> � ����� ,,�(�-�'�..' 1 <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � ��� C_�/� <br /> v�� � �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO�J�AREA QYES NO � J� <br /> �, <br /> `� <br /> BUILDER '' � w�R*NE/1 %lY� L,f�NpaWS <br /> SIGNATURE REGISTEP,E��\ N FEECURREp N <br /> Address ��q � LH � ��'�P �"7 ,, License# GcrS�sSUI <br /> ELECTRICIAN , COMPF�I'JY <br /> SIGNATURE REGISTEF'EU� Y 1 N FEE CURRE� Y/N <br /> Address , License# <br /> PLUMBER COMP�AIdY <br /> SIGNATURE REGISTEFEO� Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPCtl!�OY <br /> SIGNATURE REGISTEF:E�� Y/ N FEE CURRE� Y/N <br /> Address ] License# <br /> OTHER COMP6�I'JY <br /> SIGNATURE REGISTEF.EO Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIOIIIIIIIIIIIIIIIIIIIIItlllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Enesrgy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days afler submittal date. Requin�d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Ilyage;(1)set of Energy Fortns.R-0-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanilary Facilities 8 1 dumpster.Site Work Pertnit for all netn�projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for alI NEW construclion. <br /> � <br /> Directions:• <br /> Fill out application completely. <br /> Owner&ConVactor sign back of application,notarized <br /> It over$2600,a Notice of Commencement is required. (AIC upgrades i�ver$7600) <br /> " Agent(for the contractor)or Power of AHomey(for ihe owner)would be somsone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicalion Only) <br /> Reroofs if shingles Sewers Service Upgrades PJC Fences(PIoU'Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />