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� , s��7so-oozo City of Zephyrhills Permit Application ������� �ax-s��-7$0-002� <br /> , <br /> , Building Department <br /> Date Received l ,�3' �'�3 Phone Cantact far Permitting g�� �'�'t08 — t7 l3 1 <br /> 1 1 1 I I / 1 I t 1 I { 1 <br /> Owner's Name P i t i �Rs Owner Phone Number l3. 2�'�O i ST 3 <br /> Owner's Address �g.�,SZ �E'��a+�� �V Owner Phone Number � � <br /> Fee Simple Titleholder Name � ,V!f+► � Owner Fhone Number � � <br /> FeeSimpteTitleholderladdress N I� <br /> JOB ADDRESS ^�gSSZ Y'!�M o arT A d LOT# `� <br /> suBfliv�s�o�u �1 LPM� V.e cAGE PqRCEl.ID# -�'�-25-2!- oogo -00060 -»o88'p <br /> {OBTAINED FROM PROPBRTY iAJC NOTIGE} <br /> WQRK PROPOSED NEW CONSTR 8 ADD/AI.T Q SIGN Q Q DEMOLISH <br /> INSTAE.I. REPAIR <br /> PROPOSED USE SFR �] COMM �� OTHER u�o s � <br /> 'EYPE QF CQNSTRUCTION SLOC}{ Q FRAME �� STEE� Q <br /> RESGRlPT{QN OF WORt{ REPGFICE SA�i"'►E J fZe � Co GJr N�Jos�/.,3" f I �+�0/L <br /> BUILDING SIZE � � SQ FOOTAGE� HEIGHT ��� <br /> BUILDING � �J3�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL ��� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � �L1��'��,/�Gj <br /> � ��„�.- <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,f~� ���� <br /> (��1 <br /> OGAS Q ROOFING Q SPECIALTY � OTHER �)�� <br /> / <br /> FlN4SHEp FLOQR ELEVATlONS FLOOD ZONE AREA QYES NO � �,��� <br /> �� i��' <br /> ��� , � <br /> BUILDER ' ` � COMPANY (/��"`�T�� Ti TE �/^�'��'-� <br /> SIGNATURE iM��� 6 REGISTEREO Y/ N FEE CURREN Y/N <br /> /��� AMFA�FL <br /> Address � (_:ULL�M/,�US �� 3 License# C�C /.�/5��� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTEREQ Y/ N FEE CURREN Y/N <br /> Address License# � � <br /> PLUMBER � GOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# f � <br /> MECHANICAL � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �! � <br /> OTHER GONEPAitiFFY <br /> SIGNATURE RE�isT�Eo Y/ N FEE CURREN Y/N <br /> Address License# �� � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIM11111111111111111111111111 . <br /> RESIDENTIAL Attach{2)Piat Plans;{2}sets of Building Plans;{1}set of Energy_Forms;R-O-W Permit far new canstructian, " -- `J <br /> __L; --- - - Minimum ten(10)worRing days after submittai date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence instaiied, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisiansllarge projects <br /> COMMEI2CIAL Aftach{2}complete sets af Buiiding Plans plus a Ufe Safety Page;{1}set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submitfal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8�1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compli�nce <br /> SIG�4 PERMIT Attach{2}sets af Engineered Plans. <br /> •*•*PF20PERl'Y SURVEY required for all NEW construction. <br /> DJrections: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> {f aver$2504,a Netice af Commencement is required. {AtC upgrades over$75Q0} <br /> ** Agent(for the contractor)or Power af Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE GOUNTER PEF2M11TtNG {capy of con#ract required} <br /> Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PlotlSurveyJFaotage) <br /> Qriveways-Nat over Counter Ef on public roadways..needs ROW <br />