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��saso-wzo City of Zephyrhills Permit Application rax-ups-irsv-uuc i <br /> Building Department <br /> Date Received �� Phone Contact'for�Permittingrrrrrffrm 27 7 t <br /> Owner's Name C F z e f�� Owner Phone Ni l 0 0 fl <br /> Owner's Address r3 N Owner Phone Number <br /> Fee SimplejTitleholder Name e OwnerPhone Number <br /> Fee Simple!Titleholder Address <br /> y� <br /> JOB ADDRESS D /�•0 7 71ti �f IZ 2e (- S I C <br /> 0 LOT 0 <br /> SUBDIVISION PARCEL ID#; <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED IEW,CONSTR' ADD/ALT 0 SIGN `0 = DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED;USE = SFR COMM 0 OTHER <br /> TYPE'OF CONSTRUCTION [] BLOCK FRAME. = STEEL 0 <br /> DESCRIPTION OF WORK rnoJG Sh.� ,�> 3 c (( n��,✓. 2'1 q 5���.n Seurl �+�eC r� <br /> BUILDINGSIZE FOOTAGE ..HEIGHT : Z— z�f <br /> BUILDING /O d 9-3t VALUATION'OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> > 0y Wo <br /> PLUMBING $ "` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � r <br /> =.GAS , ROOFING = SPECIALTY. = OTHER <br /> 40 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .BUILDER - COMPANY <br /> SIGNATURE REGISTERED Y'/ N. ,_ FEE CURREN Y-/'N. <br /> Address License# <br /> :ELECTRICIAN• COMPANY <br /> .,,;SIGNATURE REGISTERED Y/ N FEEECURREM Y/N. <br /> Address' - License# <br /> PLUMBER.,;.., 'COMPANY-,, <br /> SIGNATURE REGISTERED Y.-/ N .` .FEE CURREK Y/N <br /> Address : License#: <br /> '-MECHANICAL' :; COOMPANY Y. <br /> SIGNATURE" RE GI TER Y/ N FEE CURREK. Y/N ': <br /> AddressX' °' License.# <br /> : S. I OTHER :..'r`. ; 'COMPANY PfeLiS�01, zo�r-n v- -.04 <br /> "SIGNATURE;r;;,:iF t a i" r:;". REGISTERED Y/.N FEE CURB Y/N <br /> Address.--,. .� ;,' License'# CCC D 7N 2 <br /> :RESIDENTIALi;t 'Attach...2:Plot;P,,lans 2>>"sets of Buikliri <Plans� 1` set of=Enet 'Forms;R-O=W:Pemiitfor nbw.construction, Y <br /> tern(;;10)workingp'days`aft"Ji-15rriittai:date:",41equiredlonsite;'Construction:Plans;Sto'iriwater Plans w/Silt Fence installed, <br /> Sancta ..P�_ <br /> ry..-;,,�acties 8�1_dumpstgr;Site,WoricRermit_forsubtlivlsions7large:ptojects..; <br /> :;.;;COMMERCIAL Atta6(2)complete'sets'of'Buildirig Plans plus"a Life Safety 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=Facilities&1 dumpster.-Site Work Permit'for:,,all-new`peojects.All commercial requirements must meet compliance <br /> :;SIGN!.PERMIT "Attidif-(2)sets o£EngineeredrPlansa;.:; _: .. , <br /> *'PROPERTY SURVEY.required.:for,.aILNEW..construction._ <br /> sr Directions: ; , <br /> Fill'.outapplication completely. <br /> Owner.&Contractorsign:back of application,notarized <br /> ifover:$2500;.a Notice:of:Commencement Is required. (AIC upgrades over$7500) <br /> Agent`(for'ttie contractor).or°Power ofAttomey°(for'the owner)`would`fiesomeone with notarized letter from owner authorizing same <br /> -`?OVERXHE COUNTER PERMITTING:;,.::.:':`:(copy of.'coritract required) <br /> >'Reroofs if shingles Sewers% Service-,Upgrades A/C - Fences(PlottSurvey/Footage) <br /> '' :Driveways-Not over Counter if on publioroadw-a`.hddds`ROW <br />