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: sT�-7ao-ao2a City of Zephyrhills Permit Applicafion �aX-s�3aso-aoz� <br /> , Building Department <br /> �;d <br /> Date Recelved 3�zG� I.�5 Phone Contact for Permitting �I� q o 8 --O 13� <br /> � � i � � � � � � � � c � <br /> Owner's Name �i4 y s N � ini E OwnerPhone Number g��''�75�f ��7C� <br /> 37�,�J�} NEwA� Av � � <br /> Owners Address ZFpu ya N+se.S, �t.•.335�2 - Owner Phone Number <br /> Fee Simple Titfehatder Name r.1 t A � Owner Phone lUumber �- � <br /> Fee 5imple Titlehoider Address N �� <br /> JOB ADDRESS ,3��Oyy 11JC+sJ t. V LOT# O Z <br /> SUBDIVISION 2EPN`�Q ���G�' � PARCELID# d3-2� '.2! �o�3o-Qoo6o -ogzo <br /> {OBTAINED FROM PROPEl2TY TAX NOTiCE} <br /> WORK PROPOSED e NEW cONSTR 8 ADD/ALT � SIGN C] Q pEMOLISH <br /> lNSTAL� REPAlR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> NPE QF COlUSTRUGTION Q BLOCK Q FRAME � STEEE. Q <br /> DESCRIPTION OF WORK ����Q�E $A�"�E �IZE I� �.J�a1�JoW5 A.�JI� � D�2 <br /> BUIL.DING SIZE � � SQ FOQTAGE�� HEIGHT �� <br /> �BUILDING � � VALUATION OF TOTAL CONSTRUCTION �O � p o 0 <br /> IDr 000 <br /> QEL.ECTRIGAL �s � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPL.UMBING � � � %� <br /> ����� <br /> QMECNANICAL $ � VALUATION OF MECNAN(CAL INSTALLATION � �� ��A <br /> J �Z ���" ' <br /> QGAS � ROOFING Q SPECIA4TY 0 OfHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NQ � <br /> . . . . . . . . . <br /> . . . �,���v � <br /> BUILDER • ,,,,�, coMPANY (n�EA71.1�E2 '7"�TE G.�rNOn4�5 <br /> SIGNATURE 1 � REGISTERED N FEE CURREN Y/N <br /> Address �9 W (�G�IM/�KS r��F�.� 3�07 License# CGC !S�$"�S'�I � <br /> S G ATURE , � R O 1�5T RE D Y 1 N FEE CURREN Y/N <br /> Address License# � � <br /> _-; <br /> PLUiNSER COIt1fPANY <br /> SIGNATURE REGISTERED Y/ hI FEE CURREN Y/N <br /> Address License# � � <br /> MECHAI+i1CAL � COMPANY . <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address Licen � � � <br /> OTHER � COMPANY <br /> SIGNATURE REGI&TERED Y/ N FEECURREN N <br /> Address �ieense# C� .f;`� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIM11111111111111111111111111111111 <br /> RE51QElVTiA� Attach{2)Piot Plans;{2)sets af Buiiding Plans;(1)set af Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten(1d)working days after submittal date. Required onsife,Cansfrucfion P1ans,Sformwater Plans w/Silt Fence insfalled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> GOMMERCiAL Attach{3)complefe sets of Buitding Plans plus a Life Safety Page;(9}se#of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction P{ans,Stormwater Plans w/Si{t Fence instailed, <br /> Sanitary Facilities&1 dumpster 5ite Wark Permit for all new projects.All commercial requirements must meet compliance <br /> StGN PERMIT Attach{2}sets of Engineered Plans. <br /> *""`PROPERTY SURVEY required for aii NEW canstruction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....._._�_. . . <br /> Directions: � <br /> Fi(I out appiication completely. <br /> Owner&Contractor sign back of application,notarized <br /> tf over$25QQ,a Na#ice af Corrtmencement is required. {AtC upgrades over$7500} <br /> ** Agent(for the contractar)or Power of Attorney(far the owner)would be someone with notarized letter fram owner authorizing same <br /> OVER THE COUNTER FERMITTlNG {Fron#of Application Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />