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t3T3-7t3U-ODZO City of Zephyrhills Permit Application rax-es*is-issu-uuz-i <br /> Building Department <br /> Date Received -3 (f� VI3 7T-q 2 1.-5 5 <br /> (� •.Phone Contact-for Permitting <br /> Owner's Name 1 f p^k-�'`� k-O� Y Owner Phone Number <br /> S 3 !��Q ha v GL e'er <br /> Owner's Address cy— Owner Phone Number. <br /> • i <br /> Fee Simple}Titleholder Name Owner''Phone Number, <br /> Fee SimpleTitleholder Address <br /> JOB ADDRESS ?5 S3 W Ceko o 1c�✓� (�� Zee��'�`\\S �L- ���`� o LOT# g 3 <br /> 1 <br /> i <br /> SUBDIVISION r �✓�- PARCEL ID#' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTKg ADD/ALT = SIGN Q = DEMOLISH <br /> i <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q' -COMM = OTHER pif E 777a <br /> TYPE':OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 0 <br /> i <br /> DESCRIPTION OF WORK i S c�� n .) �'eA-c-e. . <br /> BUILDING SIZE SQ`FOOTAGE HEIGHT <br /> BUILDING $ VALUATION•OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> I <br /> PLUMBING $ <br /> 0-, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0., ROOFING 0 SPECIALTY. = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I <br /> ,BUILDER COMPAN <br /> SIGNATUR REGISTER <br /> i <br /> Address , "License.# <br /> i <br /> 'ELECTRICIAN COMPANY. <br /> SIGNATURE REGISTERED Y/ N fEE:CURRER <br /> Address '.License# <br /> PLUMBERu COMPANY <br /> S1GIV dhk REGISTERED Y/'N `: FEE CURREN Y/N <br /> Address; Licerl'se#;; <br /> `;.:MECHAANICAL COMPANY, <br /> ","SIGNATURE'.-' REGISTERED Y/'•N FEE CURREn Y/N <br /> Address = ..License*,' <br /> "COMPANY <br /> SIGNATUREv:;s:: REGISTERED Y/.N FEE CURREK Y/N <br /> Address:;,: :r_ ;,* License# <br /> Y); <br /> :RESIDENTIA:-^ -,,,A -.(2­)`,P1§(P,1 ly.iioBuil +- tructiP6' on, <br /> ,. y.a..y : 1a.=:. :-;• '•> -� :+ark:: ;-. ... _,:..: . _ <br /> Minlmumsten(10)wiwockingt'day5'afterCsutirnittal:date:==,Requi'red onsite;Constructlon.Plans,^SibA Ater Plans wPSilt Fencel installed, <br /> Sanita: Facilities&1'.dum std; Site;,Work:Rermit.for.sulidivis!ons/lar e: roects' <br /> ;;,COMMERCIAL Attach(2)''complete'sets of'Bulldirig`Plans plus a'Life Safety'Page;(1)set of Energy Forms.R-O-W Permit for new-constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&.1 dumpster.,Site Work Permit.for-all.new`projects.All commercial requirements must meet compliance ' <br /> r+.SIGRtPERMIT "Aftaoh=(2)sets;of,Erigiriee�ed Flans +- <br /> ""PROPERTY SURVEY required for.all NEW'construction:_•. <br /> F)II<ouUapplication completely. <br /> Owner;&Contractor sigmback of application,notarized <br /> ir: If over'$2500;.a Notice',of:Commencement.Is required. (Ail;upgrades over$7500) <br /> A ent:'forthe'.&nfractor!or-Power of-Aftome for'the owner would tie someone with notarized letter from owner authorizing same' <br /> 9 ( ) Y( ) 9 <br /> O,VER=;THE COUNTERpERMIT:TING„•,.:_,.;,;,(co "_of,contract.required) <br /> rReroofs ifafiingles Sewers, Service Upgrades A/C. . . Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter If ori.public'roadways.needs`ROW <br />