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eisaeo-oozo City of Zephyrhills Permit Application F�-a�saaaooz� <br /> ; Building Department <br /> ---Dat�Received--- - Q +} ---- ------ - <br /> �— Phone Contact for Permilting [J - ! <br /> _rr.rr-rr-rr rrr-rr <br /> Owners Name �'���N T�I•�'/� .J/�n'//�sQ d�Owner Phone Numbe� 352 yyy�7 33 <br /> Owners Address /Z27 ���7R"� .DQ. Owner Phone Number <br />� Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /�27 �Pl�� -�G• L�7�y��LL,f� � ��Sy/ LOT# � <br /> sueqivisioN_ A'LpNA yl�lAt� P,axcE�-iox .3f2�'a/-DO�-OG��0070 <br /> .�,c, (OBTAINEU FROM PROPERTY TAX NOT1C� <br /> WORK PROPOSED e NEW CON57R e ADD/ALT I JC'I SIGN Q Q DEMOLISH <br /> INSTALL REPAIR ���}� <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIP110N OF WORK I'��� (O GJ1�✓ZbWS SSL� �jQ STZE � <br /> BUILDING SIZE SQ FOOTAGE C] HEIGHT <br /> �TTR R�!'T•RTT!'1'*R�l"7�!*1"�TTTTlT•PrR�'[TTE'7�T�[�lTTT .-P'7�TR <br /> J BUILDING $ VALUATION OF TOTAL CONSTRUCTION �y�� ~ <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRE W.R.E.C. <br /> �PLUMBING $ � ���� NG� � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �O' ,J'C Y �\ <br /> �GAS O ROOFING Q SPECIALTY � OTHER � ��/`S ✓ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO `��'�✓'�� `� <br /> BUILDER�..�e�.... � •�OMPANY vi�"`�lLfit��J`G��YNL�w1 • I�R•� <br /> SIGNATURE � REGISTERED Y/ N FEE CURF2E� Y/N <br /> Address ID�� Cfl� �S / �� �/1/kf� 7��0 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREA Y/N <br /> Address I <br /> License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE rtEcisi�teo Y/ N FEE CURREA Y/N II <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �dfe33 <br /> License# <br /> 1 1 F 1.1 1 i f 1 1 1 !� 1 1 1 I 1 1 E 1 1 1 1 [ 1 1 1 E 1 E 1 !! {1 �l 1 i 1 !1 ! 1 ! 1 1 1 f ! 1 1 1 E i E 1 �I {1 1 i f 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new consWclion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanilary Facilities 8 1 dumpster,Site Work Permit forsubdivisions/large projects <br /> COMMERCIAL Atlach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-0-W Pertnit for new conslruclion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanilary Facilities&1 dumpster Site Work Permit for all new projecls.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consUuctlon. <br /> • •• f-F-FI-i-4.i-i-i-F4-E-F-FI-i-i-f-1-f-4-f-i-i-Fi-.F4-i-I-i-f-4Fi-L-4-L-F-6-f-i-�-f-i-i-F-F-L-i-Fi-i-i-{-L-i-f-i-i-i-f-i- <br /> D(rectlons: <br /> Fill out application completely I <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commenc¢ment is required. (AIC upgrades over$7500) <br /> " Agent((or ihe contractor)or Power of Attomey(for the owner)would be someone wiih notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br />