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eta-�eaoozo City of Zephyrhills Permit Application F�$��-�8o-ooz� <br /> •,ti Building Department <br /> f., . <br /> Date Reeeived Phone Contact for Pertnitting �l(! �j�7 -/ODr7 <br /> Owner's Name .� �e(�Q- O< <-l. j Owner Phone Number c3rF1�-�-�LO—d"��� <br /> Ownefs Address ���"1��-W\�h �j(�� l, Owner Phone Number <br /> Fee Simple Tideholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS ��1J�.£: l���l� ���IC.� ZP�h���llf5 ��L• LOT# � <br /> _,� <br /> SUBDIVISION PARCEL IDI� 1 I-��- I OO l�D ` ��)� - ��iC a <br /> (OBTAINED FROM PROPERTYTAX N0710E) <br /> WORK PROPOSED e NEW CONSiR� ADD/ALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ,.L{-IcS�G.I` Q(1 ��� l C��� �OO� l) `Q-�S�*1� EC�`�C . <br /> BUILDING SIZE oZ O/dTV�C��`CX1T, SQ FOOTAGE� HEIGHT ���� � ` <br /> BUILDING $ �a�� �,�, VALUATION OF TOTAL CONSTRUCTION 4� I, �' <br /> � <br /> �ELECTRICAL $ �LQ`�� AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> d <br /> QPLUMBING $ /� � �����"�f�'� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��53`w,J.��'2 <br /> `� �N� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ��4l�.Q <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �';] ` <br /> `J <br /> r <br /> BUILDER �( COMPANY ���D�i��� �Jr' n Ca. 1�� - <br /> SIGNATURE aECISTEaFn Y/ N F�cuatx�n Y/N <br /> Address I O I 7� �_ �(' /1 T�1n License� �=�5�o v�/9 <br /> ELECTRICIAN � �1 � COMPANY '�Or i CYG� �i /�J �O•.Li�C o <br /> SIGNATURE �GiSiEREo Y!N r�E rutEn Y/N <br /> Address /f/ �-�, jQ �n �• License# 7y y r/!U�L� � <br /> PLUMBER COMPANY <br /> SIGNATURE r�cister�o Y/ N �cuw�n Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE r�cis�aEo Y!N �cuaaEn Y/N <br /> Address License� � <br /> OTHER COMPANY �/D//�C � ����/'/� L�c�-1/JC. <br /> SIGNATURE aEc,�slEaEo Y/N �cu Y/N <br /> Address � � � C. License# �J/i d Ot����� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 <br /> RESIDENl1AL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aTter submittal date. Required onsite,ConsWction Plans,Stortnuvater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large p�jeds <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 construdion. <br /> Minimum ten(70)worlting days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 7 dumpster.Site Waric Permit for all new projeds.All commencial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> FiII out application completely. <br /> Owner&Contractor sign badc of application,notarized <br /> If over Sz500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent(for the contrador)ar Power of Attomey(for the owner)wauld be someone with nofarized letter hom owner authorizing same <br /> OVER THE COUNTER PERMIll1NG (copy of contrad required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> DrivewaysNot over Counter'rf on pu6lic roadHrays..needs ROW <br />