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e�aaao-oo2o City of Zephyrhills Permit Application Fax-ais-�ao-oozi <br /> Building Department <br /> ✓ Date Received 3 a o3 �I 3�1 - 0�5 3 <br /> -r-rTr <br /> Phone Contact for Permittin <br /> Owner's Name � � ���1 1 Owner Phone Number �CJI t7+ �1 1 I I�tY <br /> Owner's Address � 1�� J� �J l�"�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �OI V� �� � � IS L7(,JV`�Z LOT# � <br /> SUBDIVISION � � Yl1I PARCEL ID# 1 I��lY-�)-Ub�(�� UU�� � <br /> (OBTAINED FFiOM PfiOPEFiTYTAX NOTIC� <br /> WORK PROPOSED � NEW coNSTR e ADD/ALT 0 SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK L R X���O Z � � D� 3•� . <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> TTrTTrTi'TT'TI"ITITTrTTrI"ITTTrTI"ITTTrTTrTTrTTrTI"PT' <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> ELECTRICAL $ �� Oc7 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ , �e�(1� <br /> ,� � (/ 7 <br /> � MECHANICAL $ (��� VALUATION OF MECHANICAL INSTALLATION ' <br /> r� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��� <br /> �.��6�:-.-�.-.-.-.-..-.-..-�...r�7--FC..7-�:.-. ...�.�-r�.�G.-(�-:...-�-i-�r'.-:..6-i.:�7-��..-.-..-r�.��.-i�..-ri..�� <br /> BUILDER COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CUFRE� Y J N <br /> Address License# <br /> ELECTRICIAN COMPANY I wc 1.\\v <br /> SIGNATURE REGISTERED / N FEECURRE� Y N <br /> Addres S -L`� � � � 3y7�3 Licensek �.� � � Z <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL �I'_j�j��J/n COMPANY V�- \ Nx. <br /> SIGNATURE iT(1'(J �la� REGISTERED Y N FEE CURRE� Y N <br /> Address �5� "l��l Ci{" l'.. V'� ,3 License# �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItI <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)comple[e sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for aII new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *'"*PROPER7Y SURVEY required for aIi NEW construction. <br /> �..-r�1--1-C-:.-r.�FI--�C�.--rF.I-.F-1-.1-.F-1.-�1-.1.-L-1--1-�-1-�.4-��1--FI--F�1.-FI-F�I-FI-��1-�C-:.-��...rr.-.-+-.- <br /> Directions: <br /> Fill out applicaGon completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />