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sia-�so-0o2o City of Zephyrhills Permit Application F�-s»-7aaoo2� <br /> Building Departmem <br /> Date Received '� phone Contact for Perinittin = O L <br /> Owners Name Owner Phone Number <br /> Owner's Address lP� � l: 1 ' � Owner Phone Number <br /> Fee Sfmple Tideholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address I <br /> JOB ADDRESS lo O� lT � `v Z e YI 1 V' 7'� LOT# � <br /> SUBDIVISION PARCELID#I <br /> (OBTAINEO FR6M PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CoNSfR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> ESCRIPTION OF W RK �1�BT'C-V'(U�'C W�1E �� .ST� 'Q ���' lf� SCII U ► , <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ (a '7 VALUATION OF TOTAL CONSTRUCTION �(�1 2 S <br /> 15 / + <br /> QELECTRICAL $ /'O/\ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> `-1 V y� �y �, <br /> QPLUMBING $ 1 I (� 2� .', u`'►.7� ��D 1 '' <br /> L �'t J <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � �'n . <br /> � ,� �T� � c� I�' �v—�- � <br /> �GAS �R��G SPECIALTY I OTHER � � �'�j' 'I �!/" � ? <br /> � � � 0 �: �--�j� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��� �� <br /> .I. -- 3 � <br /> BUILDER - COMP� F.'M� l,►vti e� CO�S�' � 1 �X�"' ��GyV- <br /> SIGNATURE aECis7mm Y/ N FEE CURRE� Y/N � ���,� <br /> ��a�7���OZ� Address S. .� � �U �- 335 S q �icense# CV I 1 <br /> �i��y�,�I��� ELECTRICIAN S�� �y��:��D/'��O�'C!L COMP I Y <br /> � �� SIGNATURE f�^-�%`"' REGISTERFD Y/ N FEECURRE� Y/N <br /> 7A�� ss I License# <br /> pI� PLUMBER �.rJ,J} /'��7/�,{ COMP I Y <br /> �, � � SIGNATURE ��� ��j��"'� ttEGiSTERm Y/ N FEE CURRE� Y/N <br /> S ly"�1� Address I License# <br /> �� L 1 I L MECHANICAL �� COMPANY 5?1{/n,1�, <br /> � �'�`� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N 1'�� v u n <br /> � /�}e/�aCk <br /> Address I License# ��j_7B�_UO Z I <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERm Y/ N FEE cURREn Y!N <br /> Address I License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENIIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt FenCe instailed, <br /> � Sanitary Faalities 8 1 dumpster,Sile Work Pertnit for subdivisions4arge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sa(ety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submirial date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciifties&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets oT Engineered Plans. <br /> ""PROPER7�Y SURVE`(required for all NEW consWCtion. <br /> Dlrecdons:• ' • o • <br /> Fill out applicatlon completely. <br /> Owner&Contrector sign back of applicalion,notarized I <br /> If over 52500,a Notfce of Commencement Is requlred. (AIC upgrades';over$7600) <br /> `" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNIER PERMIITING (Front af Application Only) i <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSunrey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW � <br /> I <br /> I <br /> I <br />