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eis-�so-oo20 � City�.of Zephyrhills Permit Application � F�=ais-�ao=oo2� <br /> , . ' ' Building Department _ � <br /> Date RQceived . • Phone Contact'for Permitting -- .- <br /> Owner's Name � �� � � � Owner Phone Number J �r"1�. � �7�v 0 <br /> Owner's Address I a6D�T�le ca P�-- �,r �c.�y+rJc�� ��Owner Phone Number <br /> Fee Simple Titleholder Name C.r►�. 'L Owner Phone Number ,. <br /> � • <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� � �� ���h1� e A�� LOT# �� <br /> SUBDIVISION �I�1 �'�r'� �O PARCEL ID# � � �.- I a �7�"����c./'����� " <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED �NEW CONSTR e ADD/ALT 0 SIGN Q 0 , DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION �� BLOCK Q FRAME 0 STEEL 0 ' <br /> DESCRIPTION OF WORK I`��� `J��/�1C�'c.n-�-3 �, I�Sr�cQC-i►C� �� b�o��I�c�'�"� I -��o�-•. <br /> BUILDING SIZE S�FOOTAGE ��� HEIGHT <br /> OBUILDING $ /D��Q� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ y���p� � AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> / ' <br /> QPLUMBING $ � Q�, _�l�, p/'���� <br /> • ,�/� <br /> OMECHANICAL $ �'���. VALUATION OF MECHANICAL INSTALLATION • <br /> OGAS �� ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR.ELEVATIONS �� iJ`�0 FLOOD ZONE AREA DYES NO . <br /> se, <br /> ��I"�T��T���TT�TT��������TTW ■ • • ,■ • • �� <br /> BUILDER D � �r � COMPANY ��� . ��c�.-+�d-��► �hC <br /> SIGNATURE � <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ����a� ����Co fi /'r' I M c License# �T>�-0���� � <br /> ELECTRICIAN �`�� COMPANY �� MOn�pn ��'e�Tr'� C� <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y 7 N <br /> Address �� � 5'L� j��r' ��G�.. � License# ��l 3�� a� <br /> PLUMBER /�� � COMPANY l.�d/"/'1 L�l'�''t� /i ���"�S <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> 1 � -�Zy� G� �v e /��! GGL nF'C �l2���. <br /> Address License# l� } <br /> MECHANICAL �� COMPANY �1�0 r�S�i ��e- �-1 i r�y 5-�--�m f <br /> SIGNATURE REGISTERED Y� N FEE CURRE� Y/N - <br /> Address 5��� css�jc/f'�, �pr•.�.,�jt�i,e License# � C.Q <br /> OTHER /���_ COMPANY � 1 �L C'r/'� 'QOQi-� 1 n I <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address [��� f p "'•«' .S 9�` �P,,-ri � License# C� �� � � � <br /> IIIIIIIItlllllllllllllltllllllllllllllllllllllllll .11llllll' lllllllll <br /> RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms;•R-O-W Permit for new construction,;, <br /> Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL 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 /> Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans vil�Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 construction. <br /> �-G--:�-4-1--i-1-1--{-1-a-�4-��1--1-�1-1�..1..1�1--1--4.1--4�-1-i�.1-4-1-�1--{-1�1--i�.�l..l..�.1--1--1-1--1-4�1..1..4�•-• • ` • • <br /> Directions: ' 1-1-.1_I--4. <br /> Fill out appiication completely. • <br /> Owner&Contractor sign back of application,notarized _.�! = ' • • <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ** Ageht(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing'same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ' <br /> Driveways-Not over Counter if on public roadways..needs ROW � - ' � _ <br />� , ' ' - . •.- ' - - - -, -.. <br />