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s�s- so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received <br /> � • Phone Contact for Permitting ' - <br /> Owner's Naml �Jd'� C, �(L_ Owner Phone Plumber <br /> Owner's,Address 3 r6 6�cb Gw�^'��-� ���� Owrner Phone tdumber <br /> Fee Simple T tleholder fdame Owner Phone PJumber <br /> Fee Simple T tleholder l�ddress <br /> JOB ADDRE.�S �� C �-� C.'A r�.�c=N ��/ LOl'# � <br /> SUBDIVISIOPd - PAPICEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e . NEW CONSTR e ADD/ALT � SIGfV Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP.OSED SE . Q SFR Q COfVIM � OTHER = <br /> TYPE-OF CO STRUCTION - Q BLOCK - Q FRAME 0 STEEL Q <br /> � (�� i <br /> DESCRIPTIoN OF WORK -L C-• L� FC=N�� 1G a,( � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � � C. (_. <br /> �BUIILDING $ �l� �3 � VALUATION=OF"TOTAL CONSTRUCTION <br /> _` <br /> QELEC]'RICAL $ AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C. <br /> �PL�MBING $ <br /> �M CHANICAL $ VALUATION OF MECHANICAL INSTALLATION r�/� l ? � / <br /> T+ <br /> �G�S � ROOFING Q SPEGIALTY 0 OTHER <br /> FINISHED.F�OOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � �-y_f co�P,�vY 1 �P zC- F�NC�<G. <br /> SIGi��.YURE REGISTERED Y/ N FEE CURRE� Y/N <br /> .0.ddres -3 O�.� O E.CSN�1L S�', N�P�(�-. Y6� L �nse# <br /> ELECTRICI COAflP/WY ' <br /> SIGRI�TURE a REGISTERED Y/ N FEE CURRE� Y/N <br /> Q,ddres Cicense# ` <br /> PLUIlABER,. CORAPANY <br /> SIGNATURE REGISTERED -Y/ N FEE GURRE� Y/N <br /> , Addres License# <br /> M ECHANIC COi�I P�,IdY <br /> SIGNATUP�E REGISTERED Y/ ,IV FEE CURRE� Y/N <br /> Add'ress License# <br /> OTHER=� '`�� COhAP�ANY <br /> SIGMATURE'. � � REGISTERED Y/.N FEE CURRE� Y/N <br /> Addres I .. � . � License# <br /> ' RESIDENTI I ,_ Atfacfi:(2)iPlot P_lans;.(2):sets�of Building=Plans;(1')"set of Energy Forrtis;R-O-W Permit.for new construcGon, <br /> • +.. Minimum�ten__(.10)working�:day,safter."sulimittai.date. Required`on"site;Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> ��� �Sanita.ry.;Facilities;&�.1.dumpster;Site,Work Permit for.subdivisions/large projects � <br /> , ,CO�AAflERCIrAL Attach�(2)�complete sets of Building�Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Minimum ten(10)wrorking 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 PERAAIT Attach(2)sets of,Engineergd Flans:' , <br /> •"«PROPERTY,SURVEY required for..aII,NEW construction. <br /> Di_recgions: I -- . ; _ _ , <br /> Fill'�out application completely, <br /> Owner�Contractor sign back of appiication,notarized <br /> If over 2500,a Notice of Commencerrieni is required. (A/C upgrades over$7500) <br /> " Agent(f�r tfie�cont�actor)or Power�of Attomey(for tFie oiivner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERIIflIITIPlG. (copy.of contraet-required) -' <br /> Reroofs if shi gles Sewers;_. .,.,Service Upgrades,A/C Fences(PIoUSurvey/Footage) <br /> DrPveways-Not over Counter If on public roadways..needs ROW <br /> 's <br /> — - � -- - <br />