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, ' � eis-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dale Received Phone Conlact for Permittinq (b 1 22� -- �I 2 �7 <br /> _l_f_I_I_I_I_I._.�_ ._ --____ _I 1 I j- <br /> Owner's Name •1(„� GJ Owner Phone Number (/!/� `-i�`� � "`�`� <br /> Owner's Address (�(/ � VW"O u/v Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tilleholder Address <br /> JOB ADDRESS 1 Z ��1/Uf!"� "'-- � J �" / LOT N � <br /> SUBDIVISION �•1 � PARCEL IDH Z ��I ��I`i�/�'�W`�lJ � w7�/ <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTIt� ADD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 C6PoMfi"-'-� OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK �I F. �`W � I C y1s� <br /> BUILDING SIZE SQ FOOTAGE llL� HEIGHT � <br /> TTrTT7�T1"ITTTi�TT�TTrrTTTI"T'r�TrTTTrTI"ITTITrTIT�TrTr <br /> �BUILDING ��� I„� VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.fl.E.C. <br /> OPLUMBING 5 ;� J" �V � , �+`� ' II <br /> I <br /> OMECHANICAL $ VA�UATION OF MECHANICAL INSTALLATION . S�\S I <br /> 3 � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER , II <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER ' , f I COMPANY �� Gara ��DO�S <br /> SIGNATURE � � REGISTERED N FEE RE� Y(N N <br /> Address � ��l..u,i"��-GV�ZQJ��� �arasol�F�3 a3 a License k Cp�.�04!UoZO� <br /> ELECTRI CIAN COM PANY <br /> SIGNATUFlE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE FEGISTERED Y/ N FEE CURRE� Y/N <br /> Address License N <br /> MECHANICAL COMPANY '� <br /> SIGNATURE REGISTERED Y/ N FEE CUFRE� Y/N <br /> Address License N <br /> OTHER COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address License N <br /> I I 1 I I 1 1 1 I 1 1 1 I 1 I 1 I 1 I I I t I 1 1 1 I I I 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 I 1 I 1 1 I 1 1 1 1 1 1 1 I I 1 1 1 I 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels oi Building Plans;(1)sel oi Energy Forms;R-O-W Permit for new construction, <br /> Minimum len(10)working days after submittal date. Required onsile,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&7 dumpster;Site Work Permit for subdrvisions/large projects <br /> COMMERCIAL A[tach(3)complete sets of Building Plans plus a Lite Satety Page;(1)set ot Energy Forms.R-O-W Permit tor new construction. I <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 /> -d-I.d--1-L.-�-1-a--4-f--i-1--4�-1--1-f--1--1-f--{-4-�HI--i-4-4�F-i..i-F-i-{-a--F-f--L-F-i-�f--1-4-8.-i-f--HI--1--4-1--�4-a--G-{--{-1-a-i-4-i-f-d--�- <br /> Directions: <br /> Fill out application completely <br /> Owner&CoNractor sign back of application,notarized <br /> If over 52500,a Notice of Commencemenl is required. (A/C upgrades over S7500) <br /> `"' Agenl(for the contractor)or Power of Atlorney(for the owner)would be someone with notarized lerier irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front o1 Application Only) <br /> Reroots i1 shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />