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s�s-�$o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> : Building Department <br /> Date Recelved,, Z�;-' '� g "'7a� a aj� _ 3 aj� <br /> , ��� Phone Contact for Permittin <br /> Owner's tdamel� �I U'1�Q ���� Owner Phone Number � —. 0 7�(4 <br /> Owner's Addrelss �l0�l0 �'�0 ��' Owner Phone Number <br /> Fee Simple Tit�eholder Name Owner�Phone Number <br /> � ; <br /> ,i <br /> Fee Simple Titleholder Address <br /> � /Q ` ( I ' / / <br /> JOB ADDRESS ��U I� �J�U ST• � /�/'L i''�I I! S 33��� LOT# I�.b <br /> SUBDIVISIONi Y�T\/1 P.cc� � �� S PARCELID# �°" s-al - v�a.o� UOUO— 2�� <br /> , (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> �I e INSTALL e REPAIR <br /> PROROSED U3E � SFF�. Q COMM 0 OTHER <br /> TYPE'OF CO I�STRUCTION Q BLOCK - Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /I�S�II ��l:�J �n-�✓�-�r w►"I�ti o2U O Io�ir�.S�d-� � -�'��l-� S WI 7-c� �h � <br /> i� �re.�ou.lrecQ C,ov..c.-el-� slc+.b_ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT Co n+�ec�td -Fv »2,ov <br /> i� <br /> . �BUI!IDIN � iZ� �2llon 4i��oo✓2 �r-ou,� <br /> �i ���� VALUATION�OF TOTAL CONSTRUCTION P���� �M� <br /> : <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. I <br /> �PLU�MBING $ � <br /> il <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / � i <br /> � <br /> � <br /> .� ^ � <br /> OGAiI � ROOFING Q SPECIALTY 0 OTHER �i l �� � <br /> r� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO i <br /> pp I <br /> BUILDER � ,,,_ � �� COMPANY P/V)�X C'�P�e/Cc,17��$ <br /> SIGNATURE F� I�� REGISTERED Y/ N FEE CURRE� Y/N <br /> �� <br /> Address� /� ��LY�{'Jf,G,� P - 6�� mo.r�L 3 !0 77 License# �C f�JU U yY70 . <br /> I <br /> ELECTRICIAN �j COMPANY �7P��✓ C7P�1 e�l��v�5 � <br /> SIGIdATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address! )1 �CL�..,(�Gc,✓ e (� �SYi�IG� 3�((�7 7. License# ��/3 U U��{�Q. <br /> PLUMBER COMIPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address�, License# <br /> �; <br /> AA ECHANICA,L' COM PANY <br /> SIGIdATURE ;I REGISTERED Y/ N FEE CURRE� Y/N <br /> n <br /> Address; License# <br /> � <br /> OTHER� � COMPANY <br /> SIGNATURE- REGISTERED Y/ N FEE CURREK Y/N <br /> Address�I License# <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 /> Sanita,ry,Facilities 8�1..durr�pster,Sife Work Permit for subdivisions/large projects <br /> COMMERCIA.L Attach(2)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 /> Directions: ' <br /> Fill out application completely. <br /> Owner&!,Contractor sign back of application,notarized <br /> If over$2500,a fdotice of Commencemen8 is required. .(A/C upgrades over$7500) <br /> " Agent(fo�th`e cohtractor)or Power of Attomey(for'the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contraet required) , <br /> Reroofs if shingles Sewers <• Service Upgrades�°A/C >� Fences(PIoUSurvey/Footage) � "�` Y ' - '� . - <br /> .. . _. ,�. - � <br /> Drlveways-Not over Counter if on putilic'roadways..needs ROW e , ` � �. ,� .. � � <br /> , , . . s „ , , <br /> f .... - 7 _ , ' • , . , <br /> Ia.. .. . �. . .,� . . , n <br /> �� <br />