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. <br /> . <br /> ' , a�a-7eaoo2o City of Zephyrhills Permit Application Fax-8'13-78Q0021 <br /> Building Department <br /> Date Received � Phone Contact for Pertnittin � 1 �Z� <br /> Owner's Name Lt� � l.. V ��1� es Owner Phone Number <br /> Owner's Address �0 5252 Lct ar�i F I �Owner Phona Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ' I �J08 ADDRESS �r Y�-n LOT# <br /> SUBDIVISION �vQi� '��.Q"� PARCEL ID#LJZ�� r ���-� ��� ^ <br /> (O6TAINED FROfd PROPERTYTA%NOTIGE� <br /> WORK PROPOSED � NEW CONS7Re A�D/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK I I1 \ � C <br /> BUILDING 31ZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $'� �O� VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �I �S` <br /> QPLUMBING $ `ZS� � L <br /> ��✓' <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � / <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � �v �Y��/`��C��}/S <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO r� n�E�'1"� <br /> � (/ 7✓- � <br /> -c�y ��73�v <br /> BUILDER � ��OMPANY U, v'--1�� <br /> SIGNATURE REGISTERED Y N FEE RRen N <br /> Address �t �C r � � License# � } <br /> � <br /> ELECTRIdAN COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREt� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEECURRE� Y/N <br /> Address License# <br /> 1 I t 1 1 1 1 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 I 1 1 1 1 1 1 1 t 1 t I 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 t 1 1 t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of 8uilding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woricing days after suhmittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence insfalled, <br /> Sanitary FaciliGes 81 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. i <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w/5�7t Fence installed, i <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.NI commercial requirements must meet compllance i <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY 2quired for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) I <br /> " Agent(for the contrador)or Power of Atlorney(for the owner)would be someone with notadzed letter from owner authodzing same , <br /> OVER THE COUN7ER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Dr(veways-Not over Counter if on public roadways..needs ROW <br />