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s�saso-oozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> ' ' Building Department <br /> —DaSe-RB�B��ed-- Phone Contact for Perm,�n� '��-a� ------ <br /> --r-rrr•rrr �;�- �/ / --- <br /> �_�L - - <br /> Owners Name �R��� �}� �r� Ow�er Phone Number p� ���� Q <br /> Owners Address Ip��� ��L GRTI�s' ��• Owner Phone Number <br /> Fee Simpla Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> roe aoo�ss �o/5/ STL OR'KS' �lL- LOT# �'�S <br /> SUBDIVISION �_ (Jlrl�s PARCELID# O7�l.ds"2����Fv�'�Q ► Q <br /> �oeraNm�tora rRoa�rtrr rax r+onc� <br /> WORK PROPOSED NEW CONSTR ADD/AlT � SIGN Q Q DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK EPd.A'CE WT9/ObfAlf SSZ� FR SrZF <br /> i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� , <br /> +�-s-e-e+'e*�e�r+a�n�e+'r•e+e+�ew�+e•e•�r�+.e+Re+�+�-�-e�e*�re*n++e-e�e-e-e*e�+-�-e�s-r.nr+e-E-r�r�-e+r�e+e-e*�**e-e+T*e�-e-e•• � <br /> �BUILDING $ /�r� r� VALUATION OF TOTAL CONSTRUCTION I <br /> / <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. , <br /> �PLUMBING $ i <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> ��` � i <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> .'�i���w'�' `. '�i� � �..s.'�'�'' '�' i:�'w'�i��....`s.•��. � <br /> BUILDER ��lD COMPANY ��`i'��a WS�'�'� �i � ' <br /> SIGNATURE REGISTERED Y/ N �ecuw�n Y/N <br /> Address Go2� IVs� t!S IfwY 3o I License# C�✓�+�ZJ� 1/7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE rtE�isrErtID Y I N p�curuien Y/N <br /> 'Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�cisreaen Y/ N �cuR�n Y/N <br /> Address <br /> Llcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE �cisTertEo Y/ N �cuaaen Y/N � <br /> Address <br /> Lfcense# <br /> OTHER COMPANY <br /> SIGNATURE r�clsr�rtm Y/ N �cu�en Y/N <br /> Address <br /> License# <br /> 1 1 i 1 t 1 i E {1 �!1 t 1 t 1 I 1 �1 �t �[1 1 I i 1 � I �! �I �[1 i 1 !1 1 1 �1 �{ � [ f 1 1 E 1 1 1 E t !1 1 1 1 1 1 <br /> RESIDENIIAL Aflach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date_ Required onsite,ConsWcUon Plans,Stortnwater Plans w/Silt Fence instailed, <br /> Sanitary FacilWes&1 dumpster,Site Work Permit for sub�visfonsAarge pmjects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Paga;(1)set of Energy Forms.R-0-W Pertnit for new construction. <br /> Minfmum ten(10)working days after submiMal date. Required onsite,Consiruction Plans,Stormwater Plans w/Silt Fence inshalled, <br /> Sanilary Facilities 81 dumpster.Site Wark Pertnit for 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 constructlon. <br /> Dlrec� f-f-�FF�F4.i.4i-i�i�Fl-�N-47-.F{�0.f.i-N-•i.i-F1-.i-F�i.1�4•• • • {-1-6f.�F1-1�E-�-C-�..i-i-I�F�FF.i.f.i-i�i�F{� <br /> tlons: <br /> Fili out applicatian completely. <br /> Owner&CanVactor sign back of application,notarized � <br /> If over;2500,a Notica of Commencement Is requlred. (A!C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notar(zed letter from owner authorimng same I <br /> OVER THE COUNTER PERMITfING (copy of contract required) I <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footaga) � <br /> i <br /> Driveways-Not over Counter if on public roadways..needs ROW I <br /> � <br /> I I <br />