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i - - - T t <br /> ' ��� f�rtCOk��tflLtCt: �CaA� <br /> I U <br /> $�3-7so-aa2o City af Zephyrhills Permit Applicatian Fa�-s�3-7$a°°2� <br /> i . Building Department �V� � <br /> � W<t'�?�' <br /> Date Receiv,ed J ef <br /> � 3�� phone Contact for Permitting �(7� - / <br /> �-r��-r-u-rr- �rr� <br /> Owner's Name ��� �(�-�t,� Owner Phone Number <br /> Owner's Address u3 �t✓tS� Owner Phone Number �� � <br /> Fee Simple,Titlehoider Name �� � Owner Phone Number �— � <br /> Fee Simpie Titlehoider Address <br /> I �Q�, � � <br /> JOB ADDRESS ��`�1� W � r 1�J"�-� LOT# C�� <br /> SUBDIVISION ��v� 1 � PARCEL ID# - e^ �SO �-�. �.Ua •�Q�"� <br /> (OBTAINED PROM PROPEi2TY TAX N4TIGE} <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> I INSTALL REPAIR <br /> PROP05ED USE �� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUGTlON BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �. � W1 �vCZ� c�l <br /> � <br /> BUILDING,SIZE ��� SQFOOTAGE� HEIGHT C_�� <br /> �j UILDING 1;6 .�� VALUATION OF TOTAL CdNSTRUC ON 3 7 f/ <br /> L._�,`-'-�� ! <br /> 0�LECTRICAL � � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �C���� <br /> � � ` `� ��,(,f/} <br /> OMECHANlCAL $ VALUATION OF MECHANICAL INSTAlLAT1�t►'i <br /> � �� � <br /> �GAS � ROOFlNG � SPECIA�TY � dTHER ��� �=�(�� <br /> FINISHED;FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � ��� <br /> i <br /> . . . . . . <br /> � <br /> BUILdER� �r(„/� ��COMPANY [N j'�o"oc✓ [,r�Jo/'l O� �/�" <br /> SIGNATURE � 5��1 REGISTERED Y N FEE CURRE� Y/ <br /> i /�c'.nr .���/��/ /�L_� <br /> Address �J /^�o �c' � � License# .J <br /> } <br /> E�ECTRICIAN C MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr�ss License# �� � <br /> ; <br /> PI.UMBEt2 CONIPAFlY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrl ss License# �i �� <br /> MEGHANI�CAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r� � <br /> � <br /> OTHER � � �p�ppHy <br /> SIGNATURS REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# � � <br /> IIIIOItllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2�Plot Plans,(2)sets of Building Plans;(1}set of Energy Forms;R-{}-W Permit for new canstruetion, <br /> Minimum ten{90}working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w!8ilt Fence instalfed, <br /> � , Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERGIAL': Attach{2)complete sets of Building Plans pEus a life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittat date. Required ansite,Construction Ptans,Stormwater Pians w/Si(t Fence installed, <br /> � Sanitaty Facilities&1 dumpster.Site Wark Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMlT Aftach{2)sets of Engineered Plans. "� � - <br /> I <br /> ****PROPERTY SURVEY required for alt NEW construction. <br /> . . . . . . . . . . . . . . . <br /> D�rections• <br /> � FiI(out application cornpletely <br /> Owner&Contractor sign back of application,notarized <br /> If over$25Q0,a Notice of Commencement is required. {AlC upgrades over$7500} <br /> � - <br /> *' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autharizing same - e <br /> OVER TFpE GOUNTER PERMITTING (copy of contract required) _;';;;F�'' � <br /> Reroa{s if shingles Sewers Service Upgrades A1C Fences(PIot/Survey/Footage} . _ y <br /> � .rr�'��: <br /> Driveways-Not over Counter if on public roadways..needs ROW ��'� <br /> , <br /> , .,,.,��, <br /> � " " ;t�'y�� <br />