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s��-�so-oo2o City of Zephyrhills Permit Application F�-e��-�so-oo2� <br /> Building Depattrnent <br /> Date Reeefved Phone Contact for Pertnitting O �7 LLJ� — / � <br /> ' � � � � � � � � n 1 1 1 1 1 <br /> Owner's Name � "C1C,�-�. �ji fU J Ll, p�y�er Phone Num6er d �> 5(�^ �oL� <br /> Owners Address S�7 � ��� � ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> FeeSimpleTfUeholderAddress �1�� �'�+�- �� S �� N ri ��"3 <br /> JOB ADDRESS Z ��L lS �`• LOT# � �D <br /> SUBDIVISION � PARCEL ID►F �"'Z�Z� '�� ()� UQ' C1O a <br /> (OBTAINED FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> 7YPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK- I �e.�a�'�'� +r4��C�I W� � ��Ptt'f.0 C�I� <br /> BUILDINGSIZE SQFOOTAGE SD`7 HEIGHT � <br /> QBUILDING S VALUATIONOFTOTALCONSTRUCTIO <br /> .� �� � <br /> �ELECTRICAL $ z 'S-,� AMP SERVICE ZQtl Q GY Q W.R.E.C. � <br /> �� <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAI INSTALLATION �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE r�ciSTERED Y/N FEE Cuwzen Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY y C ` �-P�Ga� <br /> SIGNATURE a�ciS�rtEn Y/N �cutut�n Y/N <br /> Address S� � �7 7�-�•f,f� � • � � Llcense# �L 13QC0��D <br /> PLUMBER COMPANY <br /> SIGNATURE �cls�D Y/N �cuwien Y/N <br /> Address License� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGI57�Eo Y/N FeE cUR�h Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE cURREn Y/N <br /> Address License# <br /> Iltlllllllllllllllllllltlllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcdon, <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitery Facilities&1 dumpster,Site Work Pertnft for subdivisions/large projecis � . <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnitfor new const�uction. <br /> Minlmum ten(10)wotking days after submittal date. Required onsite,Construction Plans,Stortnvrater Plans w/Silt Fence insNalled, <br /> Sanitary Facil'�les 8 1 dumpster Site Work Pertnft 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 constructian. <br /> Directions:• <br /> Fill out applicaGon campletely. <br /> Owner&Cantractor sign badc of appfication,notarized <br /> If over 52500,a NoUce of Commencement Is required. (AIC upgrades over j7500) <br /> " Agent(for fhe conVador)or Power of Attomey(for the owner)would be someone with nofarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITi1NG (copy M conUact required) <br /> Reroofs ff shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW , <br /> � <br /> I <br />