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_ � e�a-�aaoozo City of Zephyrhills Permit Applicatiori � ��F�-a�aasaoo2� <br /> ' Building Departrnent \ <br /> Date Received <br /> Phone Contact for Pertnitti /. �27 — (�jC�7 Z. <br /> —ITTrI — <br /> Owners Name (�'� _/F/R�[J�-�j e one Number ''r�/(�� � .�'iz <br /> Owners Address � � JQ� L p Owner Phone Number ��"' ���� C�'� <br /> Fee Simple TiGehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS .3 y�Z.. G��`�:� JiJrJs4 �Q � �� ,�s�� Z LOT# � <br /> SUBDIVISION � , {� , � `� PARCEL ID# --Z/—Q Q—� <br /> (OBTAINED FROM PROPERTI'TAX NOTIC� <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER ' <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> L S�IA�.✓s� (}Y.0 LY��2. '—%Z.3�3.•%}� <br /> DESCRIPTION OF WORK y'� lf"�/�+ `/ ' . /,v• — , . �� � <br /> BUILDING SIZE S�FOOTAGE� HEIGHT <br /> ��UILDING $ �-�Sr�^/ VALUATION OF TOTAL CONSTRUCTION <br /> Li <br /> QELECTRICAL $ AMP SERVICE Q PROGRES$„E��Y Q W.R.E.C. <br /> `v �' f�,"�" <br /> QPLUMBING $ � � ✓/ j ' <br /> �� � �f-� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 � <br /> QGAS Q ROOFING Q SPECIALIY � OTHER � � ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO '� ��� <br /> � <br /> BUILDER /. �/ COMPANY dr/izJ,,:� 1//� <br /> SIGNATURE �cis�a� Y/ N �cur� Y/N <br /> Address License# �CC / f s�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N F�curtrt�N Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGI57ERED Y/ N F�curtrt�N Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuw�N Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N �cu� Y/N <br /> Address License# <br /> I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construction, <br /> I Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes 8 7 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormvrater Plans w/Sitt Fence installed, <br /> Sanitary Facili6es&t dumpster.Site Work Pertnit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out applica6on completely. <br /> Owner&Contractor sign back of applicabon,notarized <br /> If over a2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contrador)or Power of Attomey(far the owner)would be sameone with notarized letter from owner authorrzing same <br /> OVER THE COUNTER PERMIll1NG (copy of contract required) <br /> Reroofs if shingtes Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />