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a�s-7ao-oozo Cify of Zephyrhills Permit Application Fax 813780-0021 <br /> Building Depariment <br /> , Date Received z�ri� phone Contactfor Pertnitting /� 7G - �3.W <br /> . OwnersName Jt� �d ��,✓� � OwnerPhoneNumber g13^�G 7�o�i <br /> Owners Address 38 s Z,f G 4�''��LR AV� Owner Phone Numbe� <br /> Fee Simple TiUeholder Name Owner Phone Number <br />� Fee Simple TitleholderAddress <br /> JOBADDRESS 3��Z S CG'�') �C'� /7J�i LOT# �DY <br /> SUBDIVISION /T' h" V�r� PARCEL ID# 3S Z'f 2�����A ^0�00^�O y0 <br /> (OBTAINED FROM PROPERTYTAX NOTICE� <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER C a� -� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK EGo fnc✓ �ao� 9X 7 FL# /�79• �° <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> TTrTI"1Trrl"TTIT��TTrTTrI"1"[�TI"ITIT�TrTI"iTTTI"rrT�rrl"1"[�TI"1'T' <br /> QBUILDING $ �H Zy� VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ I`(/}� <br />', QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (i�Z� � <br />� V _ <br /> QGAS Q ROOFING Q SPECIALN U OTHER I�I I� <br />� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> T�TIrl7�i�TTrlT�T�Trrr TriT�L!iQ�rTrTTrrrriT��TrTTriTTni�i��iTl� <br /> ( e �� J ;� <br />' BUILDER • •� �/ OC MPANY �+�ka �t/neR.(� �,/0 0�S .J- <br /> SIGNATURE <br /> . REGISTERED Y I N FEE CURREA Y!N <br />� Address �2q � C�'G/1S�4.Ul S� License# �7g�8 <br /> ELECTRICIAN ' COMPANY <br />, SIGNATURE REGISTERED Y/N FEE CURRE� Y/N <br />� Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERm Y/ N FEECURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N �e cuwteh Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllltl <br /> RESIDENi1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new constructfon. <br /> Minimum ten(10)working days after submiltal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence(nstalled, <br /> Sanitary Facilities 8 1 dumpster.Slte Work Permit for all new proJects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for aii NEW constructfon. <br /> -�-1-�I-t-F,.1--1-1-I-1-1-d-t-F.�-i--f-1-4-�1-�t-.1-1-a-4-1-I-I..I-�1..1-4-1-�I--{-f.�f-1-1-d-N�-f-i-1-1-�1a-E•�-�1--F-f..la-4-t-4-1-�F. <br /> Directions: <br /> Fill out applfcation completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over S7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized Ietter trom owner authodzing same <br /> OVER THE COUNTER PERMITfING (copy of contract required) 'i `,.._, . •• ', •� <br /> Reroofs if shingles Sewers' Senrice Upgrades A/C Fences(PIoVSurvey/Footage) .;i;�s , ,:i ,�� �•, • <br /> Driveways-Not.overCounte�.'rfonpublicroadways..needsROW � ' ' � ' • <br /> � � , , • ' � � 'i: , <br />