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�",. �. .'�. <br /> i <br /> . s��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 , <br /> Owner's ame ��'yit�E�9�.r/��s1 �/9'✓"EZ'✓�'v'9 Owner Phone Number <br /> � �j /� <br /> Owner's ddress ���{ r /�G�D/,//l'iJE�/l ,� � Owner Phone Number <br /> Fee Simpl' Titleholder Name ����r Owner Phone Number <br /> Fee Simpl Titleholder Address <br /> JOB ADD ess o20 G/z�'�/.f'<df'� /Z Zt��j/j'i2/t��1S`'L• .�3 � LOT# � <br /> SUBDIVIS ON PARCEL ID# � "P��a��vdv'�/v���- Oa9� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK P OPOSED e NEW CONSTR e ADD/ALT � IGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOS D USE 0 SFR � COMIVI 0 OTHER <br /> NPE OF ONSTRUCTION Q BLOCK FRAME � STEEL � - <br /> DESCRIP ION OF WORK '����T��'�^t��� ��L'r��! ��y��dKr �✓�� ��� L'" <br /> BUILDIN SIZE SQ FOOTAGE %'��� HEIGHT <br /> T-r rr�rrl"rrr�—�rrr'rr <br /> UILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> s,� y7 <br /> � LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � LUMBING $ ,^��J� <br /> l ' /��� � <br /> � � � <br /> ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 AS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> ���� 1-�1-1� 1-�1� 4-�1���1--F����C�'-'ri--i-� � <br /> �\.J �lT�'i� QTIO� / <br /> BUILDER � COMPANY /fl�/X L�-S' <br /> SIGNATU E REGISTERED N FEECURRE� Y!N <br /> Addr ss ���� /���f�Ls'� � �d .�7 � License# �`s/a00d y� <br /> ELECTRI�IAN COMPANY <br /> SIGNATU E REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr ss License# <br /> PLUMBE COMPANY <br /> SIGNATU�E REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAN CAL COMPANY <br /> SIGNATU E REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr ss License# <br /> OTHER COMPANY <br /> SIGNATU E REGISTERED Y/ N FEE CURRE� Y/N <br /> Add ess License# <br /> 1111 � 11111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit 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 Pertnit for subdivisions/large projects <br /> COMME CIAL Attach(2)complete sets of Building Plans plus a Life�afety 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 PE MIT Attach(2)sets of Engineered Plans. <br /> **PROPERTY SURVEY required for all NEW construction. <br /> —l..�4d� I�.h��1..1..�1..4.i�'�.+'�.i—r�1..����1..�1..1..��1��1..��:..:..rC..'r�� . . . . <br /> Directions: <br /> Fill o�t application completely. <br /> Own r&Contractor sign back of application,notarized <br /> If ov�r$2500,a Notice of Commencement is required. (A/C upgrades over$7500) , <br /> "* Age t(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TH COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driv ways-Not over Counter if on public roadways..needs ROW <br />