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, e�s-7eo-oozo � � City of Zephyrhills PermitApplication �ax-et�-reo-oo2� <br /> ' ! Bullding DepaAment <br /> Date Recelved I Phone Contect for Parmittin �� J <br /> Owners Name W 1'1 � Owner Phone Number 13'�$ -q l9 0 <br /> Owners Atltlress V I�O I til 1 a r�l,) Owner Phone Number <br /> Fee Slmple 7iGeholderName Owner Phone Number <br /> Fee Simple Tiqeholder Address i <br /> JOB ADDRESS 3�12$ C�,�l I.e,�s�TrcU( ` h � I� �L�✓�" LOT# � <br /> SUBDIVISION � pARCELID# ����tJ��r�IQIJ` OOdOO—�� IO <br /> (08TNNEC FROM PROp�µ7Y TAX NOTiCE� <br /> WORK PROPOSED e NewCONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED U3E Q SFR Q COMM � OTHER <br /> 1YPE OF CONSTRUC710N Q BLOCK [� FRAME [� STEEL Q <br /> DESCRIPTIONOFWORK w.�l� W� ��1NS �IC,� �� ,0�'—C�. <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT C� <br /> QBUILDING $ �, 1 Q „d��2 VALUATION OF TOTAL CONSTRUCTION <br /> ..1 �Y Ov <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLIlMBING $ ,`- ��(„�� _`�V ��+ �� <br /> /K d (�N � <br /> V ` � � � v � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION 1 � �5 Q' <br /> QGAS Q ROOFING Q SPECIALIY � OTHER G��k �k� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �j� �L.�, G <br /> -�::.��� 'r�I' ;A� <br /> BUILDER ` COMPANY �� <br /> SIGNA7URE REGISTERED Y/N FEE CURR Y/N <br /> Address � or . .�2 ,� � 5 <br /> 'ce se# /i� n ��!, <br /> ELECTRICIAN COMPANY �/r r �/ <br /> SICaNATURE AEG157ERED • Y/N FEE CURRE� Y/N /� <br /> Address license� W L L(G���'�'I/ s <br /> PLUMBER COMPANY ��� <br /> SIGNATURE REGISTERED Y/ N FeE cuRRen Y!N <br /> Address License# �0 O pn � <br /> 1� <br /> MECHANICAI, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address ���e� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/N FEE cuR�1. Y/N <br /> Address License# <br /> Iilllllllltllllllllllllllllillllllflllllllllll { IIIIIIIIIII111111111 <br /> RESIDENTIAL Aitach(2)Plot Plans;(2)se[s of Bullding Plans;(1)set of Energy Fortns;R-O-W Perm(t for new consWction, <br /> Minimum ten(70)working days after submittal date. Required onsite,Construcqon Plans,StortnWater Plans w/Silt Fence installed, <br /> Senitary FadllGes&1 tlumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERGAL Attarh(2)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consttuction. <br /> Mlnlmum ten(1D)waking days aftei submiflal date. Required onsite,Construction Plans,Startnwater Plans w/Silt Fence Installed, <br /> Sanitary Facllities&1 tlumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineeretl Plans. <br /> "'"PROPERTY SURVEY requlretl for all NEW construdlon. <br /> Directians:• <br /> Fill out appGcaHon comp(etery. <br /> Orrtter&Contrado�slgn back of eppliptlon,notarized <br /> If over E2500,a NoUce of Commencement is requir¢d. (A/C qpprades over 57500) <br /> " Agent(for lhe contractor)or Power of Attomey(for the owner)wouid be someone with notarizad lerierfrom owner autharizing same <br /> OVER THE COUNTER PERMITTING (copy of contred required) <br /> Reroofs(f shingles Sewets Service Upgredes A!C Fences(PIoUSurvey/Footage) <br />, Ddveways-Not over Counter'rf on pubiic roadways..needs ROW <br />