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i i s�sauo-oozo Ciry of Zephyrhills Permit Application Fax-813-780-0021 <br />� � ' /��Ir_ BuddingDepartmem <br /> � r �i <br /> Date Received L�-� p��one Contact for Pe 1m1[t'ng � ( 8 3 (8 --�Z(� <br />' t � � � � � � � <br /> �• Owner's Name �e u, j c� � Owner Phone Number 3'��-��81 <br /> Owner's Address ()oCy m�l/\ Owner Phone Number <br /> Fee Simple Titleholder Naine � �T Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �O YY1W�Cx Q�, LOT# � <br /> SUBDIVISION L r PARCEL ID# 'Z(p-ZI-�O�OU(�OO -O� Q <br /> (OBTAINED FROM PROPERTV TN(NOi10E) <br /> WORK PROPOSED e NEW CONS7R B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �. SFR a COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK E '�L <br /> BUILDING SIZE SQ FOOTAGE I�O U HEIGHT <br /> r��rrrr� r�T i��-r� rrrrr� r r� � i� � � � � � � � r ��� <br /> �BUILDING $/' ��c Q� VALUATIONOFTOTALCONSTRUCTION <br /> V <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br />' �PLUMBING $ <br /> I �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I � ��r <br /> � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA �YES NO <br /> 7dJ d � <br /> BUILDER COMPANY S G e,VL •��'r-i; <br /> SIGNATURE REGISTERED N FEE CURREn <br /> Address � q � ��( Licenset! �ee.osgi3 <br /> ELECTRICIAN COMPAtNY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREA Y/N <br /> Address <br /> License i! <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N <br /> Address <br /> License it <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N I <br /> Address - <br /> License# <br />' 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 <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 afler submi[lal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit(or subdivisions/large projects <br /> COMMERCIAL Altach(2)complele sels of Building Plans plus a Li(e Sa(ety Page;(1)set of Energy Forms.R-O-W Permit(or new conslruction. � <br /> Minimum len(10)working days afler submit�al dale. Requiretl onsite,Conslruclion Plans,Stormwa[er Plans w/Silt Fence inslalled, <br /> Sanilary Facilities&1 dumpster Site Work Pertnil lor all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Direc[ions: <br /> Fill out application completely. <br /> Owner&Coniractor sign back of application,notarized <br /> If over E2500,a Notice of Commencemen[is required. (AIC upgredes over$7500) <br /> " Agent(for the contracror)or Power o(Attorney(for the owner)would be someone with notarized letter trom owner authorizing same � <br /> OVER THE COUNTER PERMITTING (copy of conlract required) <br /> Reroofs il shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />