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11 <br /> e13 yea ao2D City of Zephyrhills Pe - pplication - a lsaa0-00 <br /> I Building De rtment <br /> Date Received Phone Carrtact far errnittln TZ EU <br /> ' - 0_SOwners Name ROR-ECtO ARC2, <br /> Owners Address � Zo WA66N-- RAFLST <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (I?�Z0 W nao N TR A TL &T. ;7-EPHL-I R qrUq LOT# <br /> SUBDIVISION PARCEL ID# - (- QQ•Q O I U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR a ADD/ALT SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL Q Y� p y� r <br /> DESCRIPTION OF WORK N f - J N V0 LR Z F Sa �+PvA IUD-1-b <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> BUILDING + Q 0 C VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 113 <br /> /^ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L v o l� l <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 1 �7n <br /> l/ <br /> -U a4- <br /> BUILDER OMPANY T O Ll�t2 DCV�LQP �r5 <br /> SIGNATURE ` REGISTERED / N FEECURREN CQ•/N Q <br /> Address Ei-o W. (vA AV,rTAPfPA1 License# r00fe7LIO <br /> ELECTRICIAN�.� q (CQM(pANy r V P Ur CWSIGNATURE REGISTERED / N FEE CURREn /N dLl <br /> Address G, r /-r License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREA <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREn Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit far subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building 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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Worts Permit 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />