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e��-�8o-oozo City of Zephyrhills Permit Application F�$��-�eo-oo2� <br /> � � Building Departmerrt <br /> � � <br /> Date Received phone Contact for Permitting <br /> 7TTf'Trrr c� <br /> Owner's Name o Q � I es �er Phone Number ' 3�-S E � �3 <br /> �0 �3 5 �s�t� <br /> Owners Address 33 wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS � \ � LOT# � <br /> SUBDIVISION � PARCEL ID# —��- ��— C�O►C�-' D o,�bG� �O 3� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e New cON57a e ADD/ALT 0 SIGN Q 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 b ' A I e rl ` ,..5 I S� <br /> BUILDING SIZE SQ FOOTAGE �S HEIGHT � <br /> 08UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.`.C� <br />' QPLUMBING $ �� / <br /> `' p, ,� �3�jKl <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �y � <br /> �f'; <br /> QGAS � ROOFING Q SPECIALTY � OTHER���J V,� t <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />, PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> IAddress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i <br /> Address License# I� <br /> SIGNATURE v v ROMP�Y� I KJ ��"'F��l��-G�CTY� �GYY� �'y yt�G <br /> Address �](���p �•� _���� O�C�. y�,-yr�i �IS �Li��e#' C��i3a���s <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIi1111111111111ti1111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(Z)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnd for new construdion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8'I 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-0-W Pertnitfor new construction. <br /> Minimum ten(10)working days after submittal date. Required onsde,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projeds.All commercial requirements musl meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> DirecHons: <br /> Fill out apptication 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 ihe conlractor)or Power of Attomey(for the owner)would be someone with notarized letter from awner autho"ing same <br /> ^ _NTER PERMITi1NG "(copy of contradjequ^;ed) �� � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) �� � <br /> :_�`'"�°°8��; EVA MARIE MARSHALL <br /> ' MY COMMISSION#FF080465 <br /> ':�., o: <br /> '•.".��oF�;,d?'.� EXPIRES April 11, 2018 <br />� (ao�)3s8-o153 FloridallotaryService.com <br />