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t <br /> ' a��-7saoozo City of Zephyrhills Permit Application Fax-813-78a0021 <br /> Bu�ding Department <br /> Date Recelved � .- Z � (� phone Conta�for Permittin � � �� - ���7 � <br /> Owners Name �L� iTV LLFKI`1 lY`�T Owner Phone Number -` `2- J 1 S `t�� <br /> Owners Address O �� C.��S GJ^`v°�.� I VU I �RerPhdn�Num6er <br /> "� � 56� 9 <br /> Fee Slmple TiUeholder Name � A� I Owner Phone Number <br /> I <br /> Fee Simple TlOeholder Address I <br /> JOB ADDRESS (� � I l�lJ l.� 1� ( S LOT�! w� <br /> SUBDMSION �� �lZ`! y�i �'PARCE�ID� -Z.(o- 2l �I(op - DOO Olp�� <br /> (OBTAINEO FROM PROPERT'TA7(NOTICEJ <br /> WORK PROPOSED NEW[ONSTR ADD/PLT Q SIGN Q Q DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK I <br /> I <br /> BUILDING SIZE SQ FOOTAGE I� HEIGHT I ST�� <br /> � <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ���✓ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i� , <br /> QGAS Q ROOFING Q SP�CIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLiOD ZONE AREA QYES NO <br /> 8UI LDER I COMPANY <br /> SIGNATURE REGfSTEREO Y/ N FEECUftRE� Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGIdATURE REGISTERED YI N FEECURRE� Y!N <br /> Address I License# <br /> PLUMBER ICOMPANY <br /> SlGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> Address I License# <br /> MECHANICAL I COMPANY NV�J F�I I` WY�9/I��O �S��>T�S <br /> SIGNATURE REGISTERED N FEECURREA Y/N <br /> Address V � 1 V1 ��� � QN Tl����s License# 2 Z <br /> OTHER I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> � o � � � � � � � � e � i � � � t � t � � � � � � o � � � e �l� e � ee � � � � � t � � � � � � � � � � � e � et � vet � � ' i � � <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Buildng Plans;(1�)set oi Energy Forms;R-Q-W Permit for new construction, <br /> Minimum ten(10)working days aRer submirial date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster,Site Work Permi�for subdivisionsllarga projeds <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a�ife Safety Page;(7)set of Energy Forms.R-O-W Pertnit for new consVuction <br /> Minimum ten(10)working days aRer submittal da{e. Required onsite,Construction Plans,Stormwater Plans wl Sili Fence installed, <br /> Sanitary Facilities&7 dumpster.Site Work Permit for all new projects.All commerciai requirements mus[meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*'PROPERTY SURVEY required for all NEW construction. <br /> Di rectio ns:• • • • • • • • • • • • • • • • • • • • • • •I • <br /> Fill out applicadon completety. <br /> Owner&Contractor sign badc of application,notarized <br /> If over$2500,a Natice of Cammenceme�t Is requlred. (AIC upgrades over$7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the rnmer)wauld be someone��ith notarized letter from owner authorizing same <br /> OVER THE COUNTER PERNiITTING�(Erea ion Only) <br /> Reroofs if shingles Sewers /Service Upgrades A/C Fi nces(PIoUSurvey/Footage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />