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s1s-�so-oo2o City af Zephyrhills Permit Applicatian <br /> Fax-813-?80-0021 <br /> • � Building Department <br /> Date Received Phona Contac#for Permitting -- <br /> dwner's Name V• � E''!C���G t� .J...n e Owner Phone Number �� ���� �� <br /> Owner'sAddress �A'5��� ��"���'��� �`� t �''�'�'�`� � OwnerPhoneNumber �� � ' <br /> Fee SimpEe Titlehoider f3ame ���`�-' � Owner Phone Number �— � <br /> Fee Simple Titleholder Atldress <br /> JQB ADDRESS �t���� �P'r� e �1 �' e'"'� L.OT# C,�'.•" <br /> SUBDfVIS10N �� � ���`�C.� -�"�' � PARCELID# �LI'�F,�'�����i✓ /�w��������� <br /> - (OBTRtNELI Ff20M PROPERTY 7AX HOTtCEj <br /> WflRK PROPOSED e NEW CONSTR 8 ADDJALT � S(�N Q � dEMOLISH <br /> INSTALL REPAIR <br /> PROPQSED USE � SFR � CQMM � OTNER �%1 � /'� _P <br /> TYPE QF GONSTRUCTIQN � BLOCf( Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK � �M' �� ����i"'��"��Q� `r �''� �-�� � �� <br /> BUILDING SIZE �V X � �� SGl F{70TAGE G'�J� HEiGHT ��—� <br /> �BUILDlNG ($ e�'}�w�c'9 �/ALUATION dF TOTA�COM1lSTRllCTION <br /> � � <br /> �ELECTRICAL ri � AMP SERVICE � PROGRESS ENERGY Q W.R.E.G. <br /> L � <br /> �PLUMBING �6� <br /> OMECHAN�CAL �;6 � VALUATION OF MECHANICAL INSTALLATION <br /> L <br /> OGAS 0 ROOF(NG Q SPECIALTY � OTHER <br /> FINISMED FLOOR ELEVATI(JNS r�� FLOOD ZONE AREA �YES NO <br /> � <br /> -�-�-'-r F <br /> BUILDER `'- ��r��� CQMPANY �e�^r b"'��`��'" <br /> SiGNATUi2E �� REGISTERED Y/ N FEE CURRE� Y./N <br /> Address ��C��r����L'Ca+"�'�Q� G�C License# ��.��--������ � <br /> ELECTRIC(AN � ���',.. COMPANY ��/n��S��1 ' � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address ��G7 7 � j �✓� M � � License# ���!,,5��(� � � <br /> ��� PLUM8Ei2 � ��,,.,._r�' COMPANY �`"''����'�'� 1' Pa f G�, }�� <br /> SIGNATURE REGlSTERE4 Y 1 N FEE CURREt� Y/N <br /> Address `t'����"`"�jt-G�c�S��c.se,.� � �,,. License# G�'G����D� � <br /> MECHANIGAL. COMPANY <br /> SIGNATURE REC�lSTERE!? Y 1 N FEE Gi1RREA Y J N <br /> Address License# �— � <br /> OTHER � � CQMPANY <br /> SIGNATURE � REGISTEREQ Y! N FEECURRE� Y/N <br /> Address License# �— `� <br /> lIIlltiillilillitl1111111tttttltlttlllilllilllllllltilllilllllltiil <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;{1)set of Energy Forms,R-Q-W Permit far new constn�ction, . <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilifies&'t dumpsfer;Site Work Permif for subdivislons/iarge projects , <br /> COMMERCIAL. Attach(2)complete sets of Building Plans plus a Life Safeky 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 w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpstec Si#e Work Perrnit for a(t new projects.A(I commerciat requirements must meet comp�iance <br /> SIGN PERMIT Attach(2}sets of Engineered Plans. � <br /> "`*PROPER7Y SURVEY required for all NEW construction. <br /> �•�--r•,•�..�.,�. . . . � ■ � <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> lf over$2500,a Notice of Commencernent is required. {R!C upgrades aver$750Q) <br /> " Agent(for the contractor)or Power of Attorney{for the owner)would be someone with notarized letter irom owner au#horizing same <br /> OVER THE COUN7ER PERMITTING (copy of contract required) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)- <br /> Driveways-Not over Countes if on pubfic roadways..needs ROW , '' '`�� ` ' - • � ` ` _ ' ' • _ <br /> . �� , „ .,.� , .:c: .. <br /> ., � �. �,, � ' � , <br /> _ _ � . �. , ' , - <br /> I - <br />