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, s�3-7go-oaza City of Zephyrhills Permit Application Fax 893-T80-Oa21 ' <br /> Building Department <br /> Date Received Phone Contact fpr Permitting (�I� � ( l;J�—lC�`I �'� ��� <br /> -I""1-7TC" <br /> l� ���l l�l ��� �51� Owner Phone Plumber �IJ ��� �1�� j <br /> Owners Name � e� (� 1 <br /> Owner's Address � ��t ����-� l���` ' t�2 �}�;(lry�il�� �Owner Phone Atumber � � I <br /> Fee Simpte Titiehalder Name 4wner Phone Number �— _� <br /> Fee Simpie Titlehoider Address <br /> JOB ADDRESS 3 g3i`? �U cai �,j ��, � � ��IS I�� ✓ �S�a• LOT# �� <br /> SUBDIVISION ��f�11,(,�L`d 1_-- PARCEL ID# lJ����'��'��`f�9 bL,u-lJ""���?� <br /> {C}STAINED FROM P120PERTY TAX NQ110E) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISN <br /> INSTAI..I. REPAIR <br /> PROPOSED USE 0 SFR Q CCJNiM � OTHER i <br /> TYPE OF CONSTRUCTION � BLOCK FRAME � S7EEL � <br /> DESCRIPTION OF WORK �C�a� �`� I �� i C..Y,�� CV�S (:Dr�S �lcSi I 1�L1 T 1,����'I�S <br /> BUILDING SIZE � � SQ FOOTAGE C� MEIGHT [�� <br /> �BUILDING �?i���T""�'�—�"�S �3rq UATION QF TOTAL CONSTRUCTION <br /> ��� � � <br /> 0 � � ANtP SERVICE � PRQGRESS Et�3ERGY 0 W.R.E.G. <br /> E�ECTRICAL $ ....�..... <br /> �PLUMBING r> � � 7�� <br /> L �� j <br /> �MECHANIGAL $ VALUATION t7F MECHANIGR�ft�{STA�LATION I ( <br /> OGAS 0 ftOOFING Q SPECtALTY 0 QTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO <br /> BUI�DER � � GOMPA�1lY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y I N � <br /> Address License# � � <br /> ELEGTRICIAN � � COMPANY <br /> SlGNATURE REGISTEREQ Y I N FEE CURRER Y 1 N <br />( Address License# �— <br /> PLUMBER �� � COMPANY <br /> SIGNi4TURE REGISTEREd Y 1 N FEE Ct1RRER Y 1 C�I <br /> Address Lice�se# �` � <br /> I <br /> MECHANICAL � COMPANY <br /> SIGHATURE � ftEGISTERED Y J N FEE CURREh Y J N <br /> Address License# � � <br /> OTHER �� n � �, y�v�p COIVIPANY j��C(� G(��r n� --1-�. <br /> StGNATUk2E ��1� ����� �'�•� ���" REGISTERED Y�/ N FEE CURREt1 Y/N <br /> Address 7 , � � �) (�� � ����� License# ,(,.,lr�+J��J�V� � <br /> v1l1lllit / t1 / � llt ! l0111 1lII ! lt11 / 111 / 111 / 111 ! ! l / Iit / i1111 [ ti � itlii <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;Ft-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dete. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence i�stalled, <br /> Sanitary Facilities&1 dumpster,Site Work Permit far subdivisionsilarge projects <br /> COMMERCiAL Attach(3)complete sets of Bui�ding Pians pius a�ife Safety Page;(1)set of Energy Forms.R-Q-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Faciiities&1 dumpster Site Work Permik for at!new pro}ecis.Ail commercial requiremenYs musf ineet camptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *'•'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Gontractor sign back of appticatian,notarized <br /> if over$2500,a Notiae ot Commencement Es reqnired. (A/C upgrades aver$7500} <br /> " Agent(for the contractar)or Power of Attorney(for the owner)would be someone with natarized letter from owner authorizing same <br /> OVER THE C4UNTER PERMiTTfNG' {Front of Appiication Only} •� • . �. .. . , _ <br /> Reroofs if sliingles Sewers � Service Upgrades A/C Fences(PIoUSurvey/Footage); , <br /> , , � . - ::�� <br /> Driveways-Not over Counter if ori�publ3o roadways..needs ROW `_ ' ' , -� � <br />