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� 81&780-0020 City of Zephyrhills Permit Application Fa����-�eo-oo2� <br /> R c Building Department <br /> Dabe Received ','� ( 02 01 S, Phone Contact for Permitting 7 Z7 S!S _ '}(� �( <br /> OwnePs Name �r��rvcA L�.r'�S Owner Phone Number a147��"��1�7 <br /> Owners Address �O�ia3 5 v v�v�;�v., �r Owner Phone Number �— <br /> Fee Simple Tdleholder Name N � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> r I <br /> JOBADDRESS �$� S��r� c�-�e �r� LOT# ���i <br /> 9UBDMSION �4��e �1 m HP PARCELID� ��-a�'"Z(�ai�)0-6daa0^((280_ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT [� SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMIVI � OTHER oa <br /> TYPE OF CONSTRUCTION Q BLOCK [� FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �ec o�,c� (�Y1��o r��P �l o w.t w , 5'� ( p� �Y1 e�r�,�-�¢_. <br /> BUILDING 31ZE a� K '¢����� SQ FOOTAGE 1��3 HEIGHT �� <br /> Q BUILDING $ ��� � �o VALUATION OF TOTAL CONSTRUCTION <br /> C] ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> Q PLUMBING $ 71� ✓ �� <br /> � �u /�� <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� r <br /> �� <br /> Q CAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES [�NO� �V <br /> �� <br /> BUILDER COMPANY C-�'"'�`�Q�� �v��C � S�-s' �� <br /> SIGNATURE REGISTERED / N FEE CURRENT /N <br /> Address ��� �v r v�p� cS..f-. ��ea�c�e.r �33 7J� License# CeCOS�0 Q f <br /> ELEC7RICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REOIS'fERED Y/ N FEE CURRENT Y/N <br /> Address License# <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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SiR Fence installed, <br /> Sanitary Faalities&1 dumpster,Site Woric Pennit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimurti"ten-(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence instalted, <br /> Sanitary FaalRies&9 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans._ _ <br /> """PROPERTY SURVEY requined for all NEW construction. <br /> Directions: <br /> Fill out application completely. .; , , ,, . <br /> Oumer&Contractor sign badc of application,notarized ' " <br /> If over;2500;�a`Notice of-Commencement is frequired. (A!C upgrades over 55000) <br /> *' Agent(for tlie'contracfor)`o�Povirer of Att'omey(far the owner)would be someone with notarized letter from ovmer authorizing same <br /> � ,�� <br /> OVER THE COUNTER PERMITTING��. (Fron�of qpplication Only) <br /> Reroofsy Sewers'�� � Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways�Not'ove��Coutite��if o�5-Petilic�Poadways..needs ROW <br />