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s�sasaoozo Cify of Zephyrhills Permit Application Fax813-780-0021 <br /> Building Depattment <br /> 1 Date Recetved P`b'C. Phone Contactfor Permttting ��3 g?�O - ��3 L� <br /> Owners Name '�7f� w r d�d W � � Owner Phone Number 8�3� r��'��Z� <br /> Owners Address s�� rb�'Ef T �✓� Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Numbe� <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �I j I rOr'C? -� �, LOT� � <br /> SUBDIVISION ��"CS'T y�,I � PARCELID� I�z�Pz- �� dOQd� d�rOO <br /> ` (OBTAINEDFROMPROPER7Y7AXNOTIC� <br /> WORKPROPOSED e NEWCONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPl10N OF WORK G� e au. � r-a eb X 7 � � ?��Q Z- <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> 'TlTl�l9��Trl"[�ITT'rrlT[�!'rIT1�l"C9'T7�ITC"ri�[T{�'rrlTr{�t�RTTrrrR{TT'rr1TP'rrITT' <br /> �HUILDING S ,z� � VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ , . AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ 4 ��'t ����S, <br /> � �wJ <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION a� � d(a�>� <br /> OGAS Q ROOFING Q SPECIALTY� OTHER � �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � l�� <br /> U1 <br /> TriTi;��R1�n�lTrT�iT��TP'�TTTrrn�TT�TTrTTr�i"�i��TP"T�iTf�Ti;Tl7�lT;� <br /> BUILDER ��' �COMPANY P/� i f�My l�aa� f V�G-E' <br /> 5fGNATURE REGISTERED N FeEcutta�n N <br /> Address /3737 �v o6� - /d Clla 3�Z License# �/' G/LS' /ro.3 <br /> ELECTRICIAN '"� COMPANY <br /> SIGNATURE REGISTEFtED Y/ N F�cututen Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE ReelsT�aeo Y/N FEECURREA Y/N <br /> Addre;s License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N �ecuw�en Y/N <br /> Address License� <br /> OTHER COMPANY <br /> SIGNATURE REGISTEftED Y/N F�cuwzen Y/N <br /> Address Ltcense# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItltlllllllttlltlllllltlllllll <br /> RESIDENTIAL Affach(2)Plot Plans;(2)sets of Building Plans;(7)set of Energy Forms;R-O-W Permitfor new constructfon, <br /> Minimum ten(10)working days after submiHal date. Requtred onsite,Construction Plans,Stormurdter Plans w/S1t Fence installed, <br /> Sanftary Facilitles&1 dumpster,Site Work Pertnit for subdivistonsAarge pro)ects <br /> COMMERCIAL Attach(2)comp(ete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new const[uction. <br /> Mlnimum ten(10y working days afler submittal date. Requ'ved onsite,ConsWc6on Plans,Stortnwater Plans w/Silt Fence tnstalled, <br /> Sanitary Facfli8es&1 dumpster.Slte Work Pertnitfor all new projects.All commercfal requfrements must meet compliance <br /> SIGN PEF2MIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY requfred for all NEW construction. <br /> •a-F-f-I-i-I-F-f-t-{.a-F-F-1-I�F-1--1-i��i-i--Fa-f-�-1�-�-1-(-E-1a-f�-f-i-i-I-I.�F-F-�i-I..I-[-F-f-I-i�-1-f--I-4-1--1-I-a-R-1-i-i-2-Fa-a- <br /> DtrecUons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaUon,notarized ' <br /> , If over$2500,a NoUce of Commeneement ts required. ,(AIC upgredes over$7500) <br /> " Agent(for the contractor)ar Power ofAttomey(for the owner)would be someone with notarized lelterfrom owner authorizing same <br /> OVERTHECOUNTERPERMITTING (copyofcontractrequire� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />