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` I , si�-�so-oozo City of Zephyrhills Permit Application F�-ei�-�ao-oozi ' <br /> • i Building Department <br /> IDateReceived `3 8' — Q�a�l <br /> j Phone Confact for Permiltin <br /> ' A n/ F N n/ 35�, 56 -� �8' <br /> � Owners Name y O Owner Phane Number <br /> I Owners Address �/�� J /YI M� 1'�� ��• Owner Phane Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> � JOBADDRESS 71�� sum�+�R- H�c� � zEP Y ru,S 335 �- LOT� � <br /> � ` <br /> � SUBDMSION PARCEL ID# ��'�V'2'—O�bQ � �OQO� � Q.Z/� <br /> (OBTAINED FROA1 PROPERiYTAX NOT1C� <br /> � WORK PROPOSED B NEW CANSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIONOFWORK R�F R�EP�A�E ��` �� S'� '��- 5�0�� /I!""(f SkIN v <br /> BUILDING SIZE SQ FOOTAGE �5�0 HEIGHT � <br /> QBUILDING $ / �O. VALUATION OF TOTAL CONSTRUCTION <br /> b <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ������ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ��� <br /> I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO O <br /> BUILDER COMPANY �v G�r G�IN LD�s� C I�/v <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address O `C � L r(E License# CLC 330 7�� <br /> E,��.�,�„� h Bu�Zn/D � 33 COMPANY <br /> ' SIGNATURE REGISTERED Y/ N �cuw�n Y/N <br /> Address License# <br /> I <br /> � PLUMBER COMPANY <br /> i SIGNATURE t�cisiEaEn Y! N �cuwx�n Y/N <br /> i � <br /> Addmss License# <br /> � MECHANICAL COMPANY <br /> �SIGNATURE REGIS7ERED Y/ N Fff CURREA Y/N <br /> � <br /> I <br /> � Address License# <br /> IOTHER � COMPANY <br /> � ,SIGNATURE aEcis�o Y/ N �cUru�n Y/N <br /> i <br /> � Address License# <br /> I1111111111111111111111111111111111111111111111111111111111111111111 <br /> I RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new wnstruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWc6on Plans,Stortnwater Plans w/Silt Fence installed, <br /> � Sanitary Facili6es$1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> ICOMMERCIAL Attach(2)complete sets of Bulding Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new wnsWction. , <br /> I Minimum ten(10)working days after su6mittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, i <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new pmjects.All commercial requirements must meet compliance � <br /> �SIGN PERMIT Attach(2)sets af Engineered Plans. � <br /> � . ""PROPERTY SURVEY required for all NEW construction. <br /> �Diredions:• • • • • • • • • • <br /> FII out applicalion completely. <br /> Ovmer$Contractar sign 6ack of appliqtion,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> Agent(for the cantractor)or Power of Attamey(for the owner)would be someone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMIll1NG (copy of contract required) - <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not aver Counter if on public roadways..needs ROW !I <br /> I <br />