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i <br /> I <br /> .�P sisaao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' ",, l <br /> Building Department n A �E <br /> �v.6 <br /> � DateReceived �� �� � � phoneContactforPermitting $la �'`� 3�3 � <br /> �� Owner's Name /u�6�✓d�GS ���'r,�M"�°i`< <a Owner Phone Number F/� 3 66 ��Z a <br /> i � <br /> i Owner's Address 35 3 S�' ��CZ C�f' 'Z—`ij� �$ Owner Phone Number <br /> I <br /> iFee Simple Titleholder Name S P^'� � Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> � JOBADDRESS � ``1 r �P�� r'� LOT# � <br /> i SUBDNISION ��1t5�v60.�1 �Cy" � PARCELID# � 3 2 6 2 t �dJ a OOi�Q ��'�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> � WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> j TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> � <br /> i DESCRIPTION OF WORK ���G� ���UM G.Ja�l $t�y � ��� `�C�� �5(Z S w G <br /> I BUILDING SIZE ZQ �rJ���� SQ FOOTAGE 6 S G� HEIGHT <br /> �UILDING $ � '��U'"b VALUATION OF TOTAL CONSTRUCTION <br /> ���LECTRICAL $ S'� AMP SERVICE �] � PROGRESS ENERGY � W.R.E.C. <br /> � T G�.o.�.tEG� Ta 61�1 S'�,W 6 �,� ✓ <br /> I OPLUMBING $ =1�';� <br /> !�G��. <br /> � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I QGAS Q ROOFING Q SPECIALTY � OTHER <br /> � �� 79�� <br /> IFINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> I ��(,��� <br /> BUILDER �CQI�PANY �—�� �.��A � �i�/" 1 <br /> SIGNATURE REGISTERED / N FEE CURRE� N <br /> Address 77�S � i� 4� � � License# ��� � <br /> ELECTRICIAN � �COMPANY �S�C'J S(,� °� <br /> SIGNATURE 5 REGISTERED N FEECURRE� Y!N <br /> Address �7�C3 ,� �Jdl� ,e.n. 3 3? License# C�GY� � <br /> IPLUMBER COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> iAddress License# <br /> I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 I 1 1 1 1 1 1 1 1 1 1 I I 1 1 I I 1 1 I 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 <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/Silt Fence installed, <br /> Sanitary Facilities 8,1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> I Minimum ten(10)working 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 /> GN PERMIT Attach(2)sets of Engineered Plans. <br /> *"'PROPERTY SURVEY required for all NEW construction. <br /> � Directions:• '' <br /> i Fill out application completely. <br /> �Owner&Contractor sign back of application,notarized <br /> � - / If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> I , <br />' I �/� Agent(for the contrac[or)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> I i OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> � Driveways-Not over Counter if on public roadways..needs ROW I <br /> � I <br /> I <br /> i <br /> 1� <br />