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o�a-�a�-�,�� Giry of Zephyrhills Permit Application FaX-813-780-db21 <br /> Building department <br /> Dat�a Receivsd �,.•p''�C}—�� Phone Contact for Parmittin O�.3 �3.�,!' — �7�d <br /> Owner's Name �,l4oytv 5 /Yi,/ flwner Pfione Number ��_��3w�� <br /> Owner's Address ��� l�,Jr�SU 1�t-- � �, !"d. �� � ��gr Phone Number _,.,,_ <br /> Fee Simple Titleholder Name � Owner Phone Number � � <br /> Fee Simpla Tltlehalder Address <br /> J08 ADDRESS �/ ��~ �'T• Z /�t+I�s �L"' 3..��ys� LOT# E� <br /> susoivisioN �� � P,4RCELID# //-�b ��1--�at� -/�2000 �-0/�b <br /> (OBTAINED fRQM PRQpERTY TAX HOTECE} <br /> WORK PROPL?5ED e �Ew coNSTs 8 ADDlALT � 51GN � Q DEMQUSH <br /> INSTALL REPAIR <br /> PROPOSED USE �] SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL , <br /> DE8CRIP7iON dF WORK �GGC✓ D� SY!/h l�.'S 5`�!/ L"" / �rA r <br /> BUILDIN�SIZ� SQ FOQTAGE �SC7� HEIGHT �;7��� (1� <br /> QBUILDING $ ���� VAI.UATiON OF TQTAL CQNSTRUCTION ��G�*� <br /> �]ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING �S� � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION <br /> `�'� ! � !/ <br /> QGAS � RQOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER COMPANY �'� <br /> SIGNATURE ,� ,_ REGISTERBD Y/ N FEE CURRE� Y%N <br /> Address License# � �� <br /> ELECTRICIAN Ct?!�lpANY <br /> StGNATURE REGISTEREO Y/ N FEE CURRES� Y!N <br /> Address Ucense# �^ i � <br /> PLUMBER � � � COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address t.icense# r� ` � <br /> MECHANICAL COMPANY <br /> SiGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address l.icense# � i � <br /> OTNEi+t � CC3AfiP/�NY �/`�`!s� .Oa:Ji! �v ��'7 1N�'"' <br /> SIGNATURE REGiSTERED J N FEE CURRE� /N <br /> Address �j7� ''� �i� � ��S �.� y1 Lice»se# �C���y�},3'7Q � <br /> RESIDEN7IAL Aftacfi(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertntt for new caanstruc8on, <br /> Minlmum ten(10}working days after submtttal dafe. Required onsite,ConstruaBon Plans,Stormwater P�ans w/Siit Fence installed, <br /> Sanitary Facilltias&.1 dumpster,Site Work Perm9t for subdivisionsAarge pro�ects <br /> COMMERGIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Mintmum ten{10)working days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence fnstalled, <br /> Sanitary Facillt(es&1-dumpster.Site.Work Permlt for ai!new projects.Aii commerciat requi�einents must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requ3red for alt NEW construction. <br /> biractions: <br /> Fiil out apptication campletety. <br /> Qvmer 8�Cantractor sign back of appflqtton,natarized <br /> If over 32500.a Notice of Commencement ts required. (AfC upgrades over 57500) <br /> " Agenk(for the contractor)or Power of Attomey(for the owner)would be someone with natarized letter from owner autharizing same <br /> DVER THE COUNYER PERMITTING., .„ {Ftont of Appllcation Only) : � �� .. <br /> Reroofs if shingles Sewers Service Upgrades A/,C Fences(Plot/Survey/Footage) " ` � <br /> Drivewaya-Nat over Counter if on public roadways..needs ROW " . � <br />