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o��-���-��u C:ity of Zephyrhills Permit Application Fa�c-a�aaao-aa2� <br /> Building Departrnent <br /> ,.,, c+ <br /> ; -- <br /> Date i2eceived �-^�/�`".f 7 phone Contact for Permitting �3 �3 �'S 3 — ��`?��� <br /> / a• e ' t� <br /> Ow»er's Name �rZ�-t'�yyQ/ srSDG/.�1�'�� Ownar Phone Mumber �� "' �7 7 "��t�� <br /> Owner's Address ' .ap�' ���it''in'� ���./''� �tw���`�' �D�Owner Phone Number � � <br /> Fee Simple Titlehotder Name Owner PhonQ Number � � <br /> Fee Simple Titiehalder Address <br /> Jaa Aoo��ss ��`��� -� '7 !6�"`' S'f" �o�r# C_r� <br /> sue��v�sto� � � �at�c�L��� 11 -.�1�r�1 �'D/D/6�oC,—l.�(�ls� <br /> (08TAINEO FRQM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � 51GN Q Q DEMOLlSH <br /> iNSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF GON$TRUC7tON Q BLOCK [,� FRAME Q STEEL Q <br /> QE$CRIFTIBN QF WORK l Z.tL! C�� c c zS f�i S7�2vlf �'f�'tc.� G7��Q'tatx�trzs�d.✓�a.l �"�jrrt ��1` . <br /> BWLDING SIZE �: � SQ FOOTAGE (� HEIGHT �^�� <br /> QBUILDING $ a��� � VA�UATION QF TOTAl.CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING � �� L�r,r�� <br /> � t�+a <br /> [�MECHAMCAL $ i VALUATION OF MECHANICAL INSTALLATION -���� . {� <br /> �� <br /> QGAS � �ROOFING Q SPECIALTY �� OTHER <br /> FiNISHED FLOOR ELEVATIO S FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SiGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREQ Y/ N FEE CURRE� Y/N � <br /> Address l.icense# r` � <br /> pLUMBER � � COMF*ANY <br /> SiGNATt1RE ( REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address license# � � <br /> MECHANiCAL � CbMPANY <br /> StGNATtlRE REGISTEREO Y/ N FEE CURRE� Y/N <br /> . Address license# r` � <br /> � �� I L�' /�� <br /> OTNER _%'� " /��"�'�"' CQMPANY �/i � .�Dr.cl� /•�r , ,t�'G <br /> StGNATURE REC,IST�RED - -`(/ N- FEE CURFtE{� Y/N� <br /> / a� -- � <br /> Address / (�� �. ! � � a�1�, �33 �'License# �G'�Dy'!`��?� <br /> I' RESIDENTIAL Attach(2)P(ot Plans;(2)sets of Buiiding P�ans;(1)se#of�E�ergy Forms;R-O-W Perrnit for new construction, <br /> Mintmum ten(10)worlcing days after submitEal date. Required onsite,Construction Ptans,Stormwater Ptans w/Sitt Fence instatled, <br /> Sanitary Facllt8es&.1 dumpster;Site Work.Pemtit for subdlvislansllarge proJects <br /> COMMERCIAL Attacfi(3}complete sets of Building Plans plus a Lffe-Safety Page;(1)�set of Energy Fortns.R-O-W Permit for new constructian. <br /> _ Mlnimum ten{10)working days affer submittat date. Required onsite,Constnaction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit foc all new proJects.Ail cammercfai requirements must meet cornplEance <br /> SiGN PERMIT Attach(2}sets of Engineered Plans. <br /> ""PROPERTY 5URVEY required for ali NEW construction. <br /> Dirdcttans: . <br /> Fiit out applicaBon campletety. <br /> Owner&Contra�to�sfgn back of application,natarized <br /> If over a2500,a Notice of Commencsment is required. (A/C upg�ades over�T5Q0) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wikh notarized letter from ownev authorizing same <br /> DVER THE COUNTER PERMI7TING (Front of Applicatian bnly) <br /> Reraofs if shingles Sewers Service Upgrades AJC Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs RQW <br />