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s��-�so-oo2o City of Zephyrhills Pe�mit Application Fax-���-�so-aoz� <br /> • Building Department ��� p_ �t r�� <br /> v� \ <br /> Date Received phone Contact for Permitting 7 11 ��S _ � � � 1 <br /> OwnePs Name �-��h c� 6c1� G�������v� -- Owner Phone Number �13�' ��"�/ ,5 <br /> Owners Address �75�� ��Y����� ��, Owner Phone Number <br /> Fee Simple Titlehofder Name E�L � Owner Phone Number <br /> Fee Simple TiHeholder Address <br /> JOBAOARESS ��75�3 S�c�r`� �` v � LOT� �a <br /> 9UBDIVISION UG I`� ��e f1�'Hp PARCE�ID# ��'a�'�l-Cc�?O—csaCsOo -o�a� <br /> (OBTAINED FROM PROPERTY TAX NOitCE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q pEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER <br /> pESCRIPTION OF WORK �e c a r�( �Q�o;l e �n sn..�. C.{'', �rti ( y'l (��b+-a,�- <br /> --i <br /> BUILDING 31ZE � SQ FOOTAGE l a a a— HEIGHT �J � <br /> Q BUILDING $ VALUATION 0�TOTAL CONSTRUCTION <br /> �1 f �-U� <br /> [� ELECTRIGAL $ AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. <br /> � Q PLUMBING $ ��� � <br /> � �C <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION CP�SQ,� <br /> � � <br /> [� GAS [� ROOFING Q SPECIALTY Q OTHER � N� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES �NO � �O" <br /> BUILDER ��OMPANY o:w-�t f�— � vc P s S d�-s,�I-+l.c, <br /> SIGNATURE �� REGISTERED Y N FEE CURRENT Y/N <br /> Address � �� � U c v��c r s� �c�ct,,,4�r � 33�`S� License# <br /> ELECTRICIAN 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 REOISTERED Y/ N FEE CURRENT Y/N <br /> E►ddress License# <br /> RESiDEN71AL 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,Construdion Plans,Stormwater Plans w!Sift Fence installed, <br /> Sanitary Faalities 8 1 dumpster,Site,Woric PeRnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildirig•Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fenoe installed, <br /> Sanitary Faalities 8 1 dumpster.Site Wortc Permit for all new projects.All commercial requiremerrts must meet compliance <br /> SIGN PERMIT Attach(2)sets of�ngineered F'lans. <br /> ""PROPERTY SURVEY rsquired for all NEW construction. <br /> Directions: <br /> Fill out application completely. � ' <br /> OwnerBContraFtor•sign•bacic�of.appli�ation,.notarized • <br /> If over:2500,a Notice;of Comrnensemerrt is requlr�d, (A/C upgrades over 55000) <br /> " Aqent(for tlie contrador)ot Powe�`of'Attomey�(f4F the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITi1NG� •�(Front of Application Qnly) <br /> Reroofs -''��Sewers < �• Servioe Upgredes���•^° AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />