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s��-�eo-0ozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Recefved Phone Contact for Pertnitting � I 3 Sd�0 _ �s�B� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name ��N"'�� � �^�M�� Owner Phone Number D��' �(0��3�Q� <br /> Owners Address ���� .5��Y�-� �'�`�� '��• Owner Phone Number <br /> Fee Simple Tltleholder Name �+..�.'t � �P..�,M.z! Owner Phone Numher ��3-�{�`1 -3 i�i 3 <br /> Fee Slmple Tltleholder Address SO�°I S�tenm.�,r �i�� �t- � 4� c 1ti��s Fi. 3 j 7 y a <br /> �os aoo�ss S��� S�,n� .� l<I;l l t��. �or u I 3 <br /> SUBDMSION �v'�'�M� � `� PARCEL ID# I�.'��D" al"C I a 2�'OC�C t7�� 1 I3 C <br /> (OBTAINED FROM PROPER7Y TA7C NOTICE) <br /> WORK PROPOSED � NEW cONSiR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br />' PROPOSED USE O� SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIONOFWORK A _ (��c� Es1 3•S �"� `K SG�� 5 L-`� 5 S�c.��s <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT C� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. \� <br /> QPLUMBING $ � <br /> �MECHANICAL $ �n �,3� �� VALUATION OF MECHANICAL INSTALLATION \� <br /> '�1 <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE r��IsrEaEo Y/ N FeE cuar�n Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE t�cls�aEo Y! N �cuw�n Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE �GlsrEaeo Y/ N �cUrzxen Y/N <br /> Address License# <br /> MECHANICAL COMPANY V n:�.�w!S�� ' r �`��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa 3��(y0 5'�a.�t ��. ��#IL �a�.-i- �L 333\''� Ucense# C.�'��5�0""�� <br /> OTHER COMPANY <br /> SIGNATURE REGI6TERED Y/ N FEE CURRE� Y/N <br /> pddress License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1tt1111111111i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new constructian, <br /> Minimum ten(10)worldng days after submittsl date. Required onsite,ConstrucUon Plans,Starmwa[er Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Permit for subd'rvisionsllarge projacts <br /> COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W PeRnit for new canstruction. <br /> Minimum ten(10)woridng days after suhmittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciGties&1 dumpster.Site Wark Permit for all new projects.All comme�cial requirements must meet campliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required(or all NEW construdion. <br /> Directians: <br /> ' Fill out application wmpletely. <br /> Owner 8 Contractar sign back of application,notarized <br /> If over 52500,a Notice of CommencemeM Is required. (AIC upgrades over 57500) <br /> " Agent(for tha contractar)or Power of Attomey(far the owner)would be sameone with notarized letter from owner au[horizing same <br /> OVER THE COUNTER PERMfTTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Caunter if on pu6lic roadways..needs ROW <br />