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a�3-�so-oozo City �f Zephyrhills Permit Application Fax-813-780-0021 <br /> c • <br /> Building Department <br /> CN� <br /> Date Received Phc ne Contact for Perm(ttin �613 2.6�! -- c19(o$ <br /> � <br /> Owner's Name� ��Ri S'f�C. �kM�e,l� Owner Phone Number 8!3 -703 - y�yq <br /> .�5��'I l3�i � / 35y2 � <br /> Owner's Addr�3ss $l �P t1���5 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number !� <br /> Fee Simple Titleholder Address <br /> JOB ADDRES;3 '�'�1'� � _ 1n � �+R� h� ��s L 33 �y� LOT# 5'F 6 <br /> i i I� <br /> SUBDIVISION G�i � Z-�r/�S i PARCEL ID# ��'26-�'��O�l0 -�l�000 �QO�b <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> i <br /> WORK PROPCISED B NEW CONSTR ; ADD/ALT Q SI,GN Q Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM � OTHER ' <br /> TYPE OF CONSTRUCTION Q BLOCK I FRAME Q STEEL Q <br /> � <br /> DESCRIPTION OF WORK �NSTA"�� �'�I , (O ,N/ � � in�yL ��N`e �Tli I �F)T <br /> i <br /> BUILDING SIZE SQ F0071� GE� HEIGHT <br /> UIL.DING $ sSq i VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � � <br /> � <br /> �PLUIVIBING $ I ����� <br /> � �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> C]GAS '' Q ROOFING SPECIALTY � OTHER — <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> itiiiiiiitfftt <br /> BUILDER COMPANY ,�I�.D.W'�S �/-�/►'�'� C�?�e�S G C C <br /> SIGNATURE A� S O IJ REGISTERED Y/ N J FEE CURRE� Y/N <br /> Address License# ��/s�$y/7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# <br /> �hff-F <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building f lans;(1)set of Energy Forms;R-0-W Permit for new construction, I� <br /> �_ . __,.__ Mlinimum ten(10)woticing days after subn ittal date. Requfred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpste�;Site�Wor�C�Psrmitfior�subdiv!�lons!laFge_pr�jects___----_--__ � - ____ `_ <br /> COMMERCIAI. Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new constnictlon.— <br /> Minimum ten(10)working days after sutir��ittal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Facflities 8�1 dumpster.Site Wor Permit for all new projects,Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach{2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all EW construction. <br /> � <br /> Directlons: <br /> Fill out applicatfon completely. ' <br /> Owner&Contractor sign back of application,notar!zed ' , <br /> If over 52500,a Notice of Commencement is requirec. (A/C upgrades over 57500) . <br /> " Agent(for the contractor)or Power of Attomey(for the o� er)would be someone with notarized letter from owner authorizing same <br /> OVER THE CCIUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shfni�les Sewers Service Upgrades A/�; Fences(PIoUSurvey/Footage) - <br /> Driveways-Not over Counter if on publ(c roadways..neecl s ROW ,� �• <br />