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, <br /> s�3-ieo-oo2o City of Zephyrhills Permit Application Fax-813-780.0021 <br /> 'I , Building Department I <br /> l <br /> Date Receive il � � / � r �(� Phone Contact for Permittin 3S z-- ��"-'��-r Q <br /> Owner's Plamll 50DE.P�-ST�O� El��L� r'1 F�1�. Owner Phone Number ���—y 5-1—g��-5 <br /> Owner'sAddress �7�4 f ���'��- ��M��� �D��1�E OwnerPhone Number <br /> I �Fee Simple Tltleholder Mame Owner Phone Number <br /> � <br /> Fee 5imple Tttleholder Address <br /> JOBADDRESS 375y ( L.P��LHAMMtxJCDR. �P'1-4y�1L1-5 F�-335�{,-y LOT# �4 <br /> suBoivesioN bRt� (��N �HAs�1 pARCEL ID# �y"Z5 7J-e�1�o-�c�op-ozs4o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED�SE Q SFR Q COMM � OTHER SSO¢Z, l!L t tJ� <br /> TYPE OF CONSTRUCTIOM Q BLOCK �'=FRAME Q STEEL �] � <br /> UESCRIPTION OF WORK �►JST�V�T S4�ED <br /> BUILDING SIZE � 2-� � �Z� SQ FOOTAGE . � �I'c-I HEIGHT }�j t b�� <br /> � I <br /> UI DING $ 1 O�ooOQ° VALUATION OF TOTAL CONSTRUCTION <br /> QEL CTRICAL $ �,�� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> �PL MBING $ �,�� �_� � <br /> �l � <br /> OME� HANICAL $ �/� VALUATION OF MECHANICAL INSTALLATION <br /> QGAi Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FL OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I �� <br /> BUILDER � �7� COflAPANY �$ �'A`��� ��ST�VC,TIOI� <br /> SIGIdATURE� U� REGISTERED %Y N FEE CURRE� Y/N <br /> I <br /> Address ��'' �-� � ��AE C�T�r F�-335ZC�—�47�-f License# �'-�t- ��54'� <br /> ELEC'�RICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIMBER COMPANY <br /> SIGtdATVRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> i <br /> AAECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres I� License# <br /> I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence instalied, <br /> Sanitary FaciHtles 8�1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIA,L Attach(3)complete sets of Building Plans plus a.Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor new construction. <br /> , � —� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> � Sanitary Facilities&1 dumpste�.Site Work�Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMI� Attach(2)sets of Engineered Plans. <br /> � ""PROPERTY SURVEY required for all NEW construction. , <br /> Directions: i <br /> Fill out application completely. � <br /> Owner&�IContractor sign back of application,notarized <br /> .• If over 52500,a Plotice of Commencement is requlred. (AIC upgrades over�7500) <br /> Agent(foir the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same � <br /> OVER THE CIOUNTER PERMITTING (Front of Application Only) - <br /> Reroofs if shiigles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) � <br /> Drivewiys-Not over Counter if on public,roadways..needs ROW ' ' � <br /> � , <br /> � ' <br />