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r <br /> '� . a�a-�aaoo2o City of Zephyrhills Permit Application Fax-813-78Q0021 <br /> ' Building Department <br /> Date Received ����--� phone Contact for Perrnittin O��J 7 8Z — �� <br /> Owner's Name Z���� L1 LJ �- O T1 � Y��C Owner Phone Number <br /> Owner's Address �""0 �x .SZ."�J L�.Kcland 33`001 Owner Phone Number <br /> Fee Simple Titlehalder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08ADDRESS �p�I �e.Y V III~ Q,��. LOT# � I <br /> SUBDIVISION PARCEL ID# �Z`Z���l' ���'�5 l�����2� <br /> (OBTAINED FROPd PROPERTY TAX NOTICEj I <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC110N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ���'iG �D ��0�� �� I S � •• � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � , <br /> QBUILDING $ [1 S� VALUATION OF TOTAL CONSTRUCTION <br /> 7 v <br /> QELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> 0 PLUMBING $ � �Q t� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �J��� ( I <br /> Z <br /> QGAS ROOFING Q SPECIALTY 0 OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA QYES NO II <br /> V j� ,�...�^ ,,�, li <br /> BUILDER � COMPANY ` QU� �h 1� n51 r��C� I <br /> SIGNATURE � kEGls7�xeo Y/ N FEECl1RRE� Y/N <br /> Address 9 l."1 II ��vu• License# l� '� �� I <br /> ELECTRICIAN COM PANY I <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> � � i � � � � � � � � � � � � � � � � � o � � � � � � � � � � � e � � � � � � � � � � � � � � � i � � � � � � � � i � � � � � i � � � <br /> RESIDEN7IAL 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)woticing days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slt Fence installed, <br /> Sanilary Facilities 81 dumpster;Site Work Permi[for subdivisionsllarge projec[s <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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!Silt Fence installed, <br /> Sanitary Facilities 8,�dumpstar.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "^'PROPERTY 5URVEY required for all NEW construction. <br />� Directions:• <br /> Fill out application completely. <br />' Owner&Contraclor sign back oi application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs i(shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter i(on public roadways..needs ROW <br />