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i <br /> � . <br /> sia-Teo-oozo City:of Zephyrhills Permit Application. Fa x-sls-Teo-ooz1. <br /> Building Department_ <br /> ll <br /> Date Received SU,+ �1}� Phone Contact forPerrnitling 1Y7� �_ �CO <br /> ra- <br /> aiaaaa ) (',• ■aa..tt Q _. <br /> Owner s Name Q W/`�'l Owner Phone Numtier �_:5 T a <br /> 3 h rhil4-s-F <br /> Owner's Address —e I Owner Phone Number <br /> - Z 8 <br /> Fee Simple Titleholder Name: Owner Phone Number' <br /> Fee Simple Titleholder Address (- 2 /� <br /> JOBADDRESS 31JSD�' 1 ! Ave Ze h FL 375�G�' LOT# <br /> qpp-� �y 1 r�r�^ <br /> SUBDIVISION {� PARCEL ID# II�-5�5T 6��0� 1154 O . 0�1d` . <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - - <br /> WORK PROPOSED NEW CONSTR ADD/ALT :::= SIGN _ 'DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED:USE = SFR 0 COMM ;= OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK S i n <br /> BUILDING SIZE SQ FOOTAGE HEIGHT. : <br /> ccrerccc�Icrrcrccccccscrrccccccertcrrccc';;'c�scccc ccccxcccc;c'crtcccc-rcr <br /> =BUILDING s VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL .. AMP SERVICE,..... Q, PROGRESS ENERGY .Q, W.R,EC. . <br /> =PLUMBING. $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION. <br /> .. . .... . <br /> =GAS =. ROOFING = SPECIALTY 0 . OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO, <br /> BUILDER Cr�/ COMPANY' -1 <br /> SIGNATURE `f/ REGISTERED Y! FE cuRREN. Y/ <br /> Address 1 1/ ` �LJ1t2>~l'L �JJ TOt .Lltienea# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE "'REGISTERED ' Y/N FEE CURREN" Y/N <br /> Address License# <br /> PLUMBERF77 COMPANY.. <br /> SIGNATURE REGISTERED. Y/N- FEE CURREN Y/N' <br /> Address License# <br /> MECHANICAL ... COMPANY ......' <br /> - SIGNATURE "'.REGISTERED Y/N FEE CURREN- <br /> Address License'# <br /> OTHER COMPANY " <br /> SIGNATURE: REGISTERED. Y/.N: FEE CURREN YIN: <br /> Address License'# <br /> I�aaallaaalaaala�a�tlaaafiaa1aaaai1411111'aaafala�afaaaaaaaaaIIa.r'aa'111 <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/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit fog subdivisionsliarge'projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)'set of Energy Fortes.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal,date.Required onsite,Construction Plans,'Stor water Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work 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 S2500,a Notice of Commencement is required.(A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone v�th notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required);, <br /> Reiroofs if shingles: 'Sewers :: Service Upgrades A/C Fences(PloUSurvey/Footage) .. ... ... .. <br /> Driveways-Not over Counter if on public roadWays..needs,ROW <br />