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a�3-�ao-oozo City of Zephyrhills Permit Application FaX-e�a-�eo-ooz� li <br /> Building Departmenl I <br /> Date Recelved <br /> 7-��-�- Phone Contact(or Permitting __ � • �/� <br /> + c ��f <br /> Owner's Name �I�h- rrOwner Phona Number o ^�� ^ 7(�S <br /> Owner's Address S i, � <br /> � S Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Numher <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � �( �I 5 2 �L � i <br /> J3J� LOTH <br /> i SU6DIVISION PARCEL IDq Q��'��"�,�-�(�' I1'� y'1� ��G� <br /> � (09TAINED FROM PROPER7Y TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR ADD/A�T �� SIGN Q Q DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q C/O�p�M"""���-�--.OTNER - <br /> TYPE OF CONSTRUCTION � BCOCK Q pRqME � STEEL �_�_ `!`� <br /> DESCRIPTION OF WORK ,5/7�L� �j'���,c� �n/ /�-� s <br /> BUILDING SIZE SQ FOOTAGE ��_ . HEIGHT � <br /> TTrTt1TTr1'7�T�'7T'TI"��TITPTr�'fT1�TRTr1�1Tf TIZ'T1��TTrT�T'TTT' <br /> QBUILDING $ <br /> VAIUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $��'�Q VALUATION OF MECHANICAL INSTALLATION <br /> ��/ �7�� <br /> QGAS Q ROOFING Q SPECIALN OTHER � <br /> � <br /> FINISHED FLOOR ELEVATIONS F100D ZONE AREA QYES NO � 7 ��j <br /> -i-L-i-i_I...{.-1�-1-i-f-�-{-�.-1-14=4-1-�l-L-1-L-1.i-1--F:.L-1-a-4-1-i-1--I�H--1=b-1-1-d�.4=f.:.1-4-�.-4-f--1-�L-i-L��{-1--1.-L-L-i-f-�i-�F-a-1-a--4= <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N ' FEE CURRE�, Y/N " <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED � Y/ N FEE CURRE� Y/N <br /> Adt�f@SS <br /> License q I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N . <br /> Address <br /> License# <br /> MECHANICAL � COMPANY r�" B I UT P�SCU <br /> SIGNATURE ' REGISTERED Y I N FEE CURRE� Y/N <br /> Address O� ZD � � License# j <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address <br /> License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111 <br /> RESIDENTIAL Allach(2)Plot Plens;(2)sels of Building Plans;(1)set af Energy Forms;R-O-W Permit for new conslruclion, <br /> Minimum len(10)working days after submitlal dale. Required onsile,Conslruclion Plans,Stormwater Plans w!Sill Fepce installed, <br /> Sanflary Facililies 8 1 dumpsler;Site Work Perinil for subdiVisionsllarge proJecls <br /> - COMMERCIAL Allach(2)complele sels of Building Plans ptus a Life Safely Page;(1)set of Energy Forms.R-O-W Permil for new conslruclion. <br /> Minimum len(10)working days e(ler submittal date, Requlred onsite,ConslrucUon Pians,Stormwaler Plans w/Silt Fence insfalled, <br /> Sanitary Facflities 8 1 dumpsler Sile Work Permil for ell new projecls.All commerclal requiremenis must meel compllence <br /> SIGN PERMIT Fitlach(2)sels of Engineered Plans. <br /> ""PROPER7Y SURVEY required(or atl NEW construction. <br /> -1-4-1-/-N-1-4-1-1--{-1�-1-4-4•L-i�-H-►-1-i-1-1�1-1-�1�1-i�1-f�1�1-�-1�1-L-4-1-1-��1--1-�4.1-�F-�--1-l--{-1--L-�' •' "F-�' • '- <br /> DlrecHons: <br /> Fill oul applicatlon complelely <br /> Owner 8 Contraclor slgn back of appllcatlon,nolarized <br /> i It over;25a0,a Notice of Commencement Is requlred. (A/C upgredes over 57500) <br /> , " Agent((or lhe contraclor)or Power of Attorney(tor the owner)would be someone wilh notarized leller(rom owner aulhorizing same <br /> � OVER THE COUNTER PERMITTING (copy of coniracl requfred) <br /> Reroofs If shingles SeweFs Service Upgredes A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br /> I <br />