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i <br /> a�aaso-oozo � � -" �- ���- ��• Cit"y of Zephyrhills Permit Application I , ` - FaX-s�3aso-ooz� ' <br /> � ;,,: , . � , , <br /> - Building Department , , , , , „ , , , , <br /> , � ; ��'�. - � � ' • <br /> Date Received - �?•�p'�^ ' ° - '" � -- - <br /> Phone Contact for Permittin ��� � - J� <br /> -rrrrrrrr <br /> Owner's Name GL � S q l Owner Phone Number <br /> 3 �a.- a sa-���Y <br /> �L�ll'� � 0�4 h � 33��Y <br />'I Owner's Address �%.�02 v h ��l s Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> / <br /> / <br /> Fee Simple Titleholder Address <br /> ,� ,S� D �a�i a� � ��i`/l s 33 ry a-.- LOT# �3.� % �, <br /> JOB ADDRESS h e- � <br /> SUBDIVISION ,I��S�"rc �� �S PARCEL ID# �y 1�-� /"� ODDL�� Ov!!�d"QD�I/ <br /> (OBTAINED FROM PROPERTY TNC NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK ��%�/(}//L �`��,3 Ce D�l �D�G'� ��c� <br /> BUILDING SIZE ��� 3 La SQ FOOTAGE /� �- HEIGHT <br /> TTTT�Tf TI"ITTrITI"I�rT�TI"ITTrT1'7T1"ITTTI�ITT'1"ITTTI�Tr�TITTr <br /> 0 BUILDING $ �y�D-U v VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> /�Uo-U� � , <br /> QPLUMBING $ <br /> QMECHANICAL $ �SU.D U VALUATION OF MECHANICAL INSTALLATION �{'I � �(J I� <br /> G!�' <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> -1--�1--�f--1--1-1-�--4-F-�-1-1--1-1--1--1-1--1-�-a-d-N-1-1--FI--FF-�F�-F-1-1--1-�1--1-1-1--1-1--1-1-1--1--1--E-�-i-1--f-f--t-f-1--1-HI--1-1--1-1-1- <br /> I SIGNATURE �ti, r/ ������ � � ROMPANY� S��N�lC /�EEC��N�Ir//'/G�l� <br /> %L'S <br /> /� �l 3�yy p p <br /> Address S � ��/^ /G� ��� `S 3 License# C(�c-C, .�a J``/ <br /> ELECTRICIAN /�� %�Z��Z��" COMPANY /�'0j`���1 Gl������ <br /> SIGNATURE �� REGISTERED Y/ N FEE CURREN Y/N <br /> Address -�J-/� �3 —�.��`l�S 33 S �? �icense# Lc� �dZ� � �/Y <br /> PLUMBER COMPANY <br /> SIGNATURE GISTERED Y/ N FEE CURREN Y/N I <br /> Address • �� License# I <br /> MECHANICAL COMPANY 4/I�,S � ll/+'r' P- �' I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN .Y/N I <br /> Address y yy /5�l��k �� ��!6`S �3 � License# C�G 6 Y 3 y y <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> I Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)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&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"*'PROPERTY SURVEY required for all NEW construction. <br /> -1�1..1-1-.�1-4-a-f-f..l-1..1..1-1..�..1-f..1-{--�1-1--1-�-f..f-1-1..1-1..1-�1..1-f..1..4-I..f-�1-.f-�..1.-4.L.�..4.L..1-�1..1-L-f-1-1..1..1-1..4-1-.��1- <br /> Dlrections: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />