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813-7�o-oozo City of Zephyrhills Permit Application FaX-B�a-�Bo-oo2� <br /> - Building Department <br /> Date Received .,� .� <br /> Phone Contact for Permitting �1?j �'�'7 - ���� � <br /> Owner's Namel ��. ~ L !bl Owner Phone Number , Zv �� �^o2�s� <br /> Owner's Addr ss �-i��j 4�,�(, ��(.c7DcX-'l �'►�s� Owner Phone Number <br /> Fee Simple Tit eholder Name � �" � �.�Q [�,�' Owner Phone Number I <br /> Fee Simple Tit eholder Address C�`7 �3 L.C:t L�,if`Q,�L�a ��', <br /> JOB ADDRES I (� [ �� (�C �, La�Q 1 'In� LOT# �" 7 <br /> SUBDIVISION = �I 611�2.(' C�Ct� t'� pARCEL ID# b3 a6-ZI-O/Z8-O 8ESO0-O�l.'7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP�SED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP.OSED SE Q SFR Q COMM 0 OTHER <br /> TYPE OF CO STFtUCT10N Q BLOCK - Q FRAME � STEEL Q <br /> Sc�e��J er��.C..eSu/� � �.' ` <br /> DESCRIPTIO OFWORK )/�1 �Q�(Z^�l� <br /> BUItDING SI E � � SQ FOOTAGE 3 a� HEIGHT �� <br /> �BUILDING $ •. �SO P�. VALUATION OF TOTAL CONSTRUCTION <br /> QEL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPL MBING $ ]'`°���� <br /> � <br /> QME� HANICAL $ VALUATION OF MECHANICAL INSTALLATION � �R-� � <br /> � � �y�2� <br /> QGA Q ROOFING Q SPECIALTY 0 OTHER � R� <br /> FINISHED FL� OR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER � � �COMPANY e � 'P�,���j f�,� � �,, <br /> SIGtdATURE .�� �� <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C Re��2 7�C� <br /> ELECTRICIAfV � COMPANY <br /> SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N <br /> -, Address License# i <br /> PLUMBER • - - I �� . ._ � � ' COMPANY <br /> SIGNATURE _ , ', , REGISTERED Y�/ N� FEE CURRE� ' Y/N <br /> . . - _ . �. . , � <br /> Address � �: . � a � License#" <br /> , MECHANIC i COMPANY , <br /> SIGNATURE� � REGISTERED Y/. N- . FeE cu►utEn Y 6 N <br /> Addre's � • ' ' - - License.# <br /> OTHER "'� COMPANY <br /> I SIGNATURE- � , �REGISTERED -. Y/.N FEE CURRE�' _ Y,/N <br /> Addres. - ' � License# <br /> RESIDENTI -, Attach�(2).Plot Plans;{2)•sets of'Building=Plans;(1)'set of EnergyForms;R-0-W P.ermit.foc new construction,. <br /> _ ��•_,, Minimum�tem(�10)udorking;days after:sutimittal-date. Required onsite;'Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> ' I Sanita,ry F.acilities&r1+.dumpster Site Work Perriiit for subd'ivisions/large projects � <br /> _�GOMMERCIIaL Attach(2)complete sets of�Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit 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 Facili6es&1 ilumpster.Site Wo�k Permit fo'r'all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of;Engineered Plans. <br /> '*"*PROPERTY SURVEY required for all.NEW construction. <br /> Directions: � - , <br /> Fill out a plication completely. <br /> � Owner Contractor sign back of application,notarized <br /> If over$ 500;a Notice of Commencement is required. (A/C upgrades over$7500) <br /> '* Agent(f�th'e�cont�actor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> :OVER.THE C�OUNTER:PERMITTING (copy of contract required) ' <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewa�ys-Not over Counter if on public roadways..needs ROW <br />