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r <br /> a�a-�so-oo2o City of Zephyrhills Permit Application �$��-���1 <br /> Building DapartrneM <br /> s Dam Reeefved / �� Phone CoMad for Permittin 7J! 3 !/c�Z, - !�7iO <br /> Owners Name GC.S'd 7 T /f//1 J S G Owner Phone Number <br />� Owners Address �'v- �o� �7� ��(e G FZ 335?,6' pwner Phone Number -- <br /> Fee Simple TiBehoider Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOBADDRESS So�53 ('�, 8/ , �e �,,I �G 335y2, �oT� 0 <br /> SUBDMSION PARCEL IDM <br /> AfN�FROlA PROPERTY TA7(NO710E) <br /> WORK PROPOSED e NEW toN57R 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCWP'itON OF WORK �/�'Stod/ �Y 1�L ��?O� ,.�� �G <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> -"BUILDING $ '(a CO C��' VALUATION OF TOTAL CONSTRUCTION <br /> `IJ <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.REC. <br />' �PLUMBING $ � r�G <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO��. I /�`��1 ' L� J �- <br /> ! 1 J � �-�'- <br /> \� �^ <br /> �cas Q ROOFING Q sPEcuu.n Q OTHER � �►TG�. �.CC(!'� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO n i � <br /> .� <br /> BUILDER -'� y COMPANY Q1/�c(� � Sl y,1S /qµn G_. <br /> SIGNATURE �GlsreRen Y/N cuwxEn /N <br /> Address ��0 �i� z l �-. � .o License# <br /> i <br /> Et.�crniC�a�u / �ConnPa�r Q �,-�-. �� 5 r� �l�G. <br /> SIGNA7URE R�isrEa� Y/ N cur�a. /N <br /> Address �� "'C�r-!O, 1�h. V�"l�Go' � Licerue# <br /> PLUMBER COMPANY <br /> SIGNATURE a�GisrEaEo Y/ N �cuwtEn Y/N <br /> Address License�! <br />� MECHANICAL COMPANY <br /> SIGNATURE aEGisrErtEn Y/ N �CUttRe� Y/N <br /> Address License# <br /> O7HER CpAAppNy <br /> SIGNATURE aEcis�Reo Y/ N �cur�a� Y/N <br /> Addr�sss License# <br /> IIIIIIIIi11111 � 1 � 1 � 1111111111 � 111111111111111 � 1111111111t1I11I11111 <br /> RESIDENiIAL Attach(2)Plot Plans;(2)sets of 8uilding Pians;(1)set of Energy Fortns;R-aW Pertnit for new construction, <br /> Minimum ten(10)woridng days after'submittal date. Requited onsite,Construction Pians,Stortnwater Pians w/Silt Fence instaDed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)cnmplete sets of Buifding Plans plus a Life Safery Page;(1)set of Energy Fortns.R-aW Pertnit for new constructien. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster.Ske Wark Pertnit for all new projects.All commercial requirements must meet campliance <br /> SIGN PERMIT Attach(2j sets of Engineered Plans, <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> Direetlons:• <br /> FII out application completely. <br /> Owner&CoMractor sign 6ack oF appiiption,notar¢ed ' <br /> If over 52500,a NoUce of Commencement Is requfred. (AIC upgwdes over;7500) <br /> " Agent(Tor the contractor)ar Power of Attomey(for the avmer)wouid be sameone with notarited letter hom owner autho�ng same <br /> OVER THE COUNTER PERMITTiNG (copy of contract required) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on puWic roadways..needs ROW <br />