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ou.UUZU City of Zephyrhills Permit Application <br /> Building Department <br /> Ci <br /> Phone Contact for Permitting 4(. -0 0) <br /> 0 -0 <br /> 'W cu 0 <br /> Owner's Nam Owner Phone Numr-r-7 cj ,� <br /> e 11.g. hr--�z Inc- Number fu 0 <br /> jcz 0 C) <br /> 0 <br /> Z f <br /> Owner's Address aLQ2,—Fie_\ Cb Owner Phone Number g.Z iz- Z�? a) <br /> Co, a) <br /> 4L 0 <br /> ;0- <br /> C <br /> Fee Simple Titleholder Name Owner Phone Number CO <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .-Ek- TMO LOT# <br /> ARCEI ID9 2S, Z. W110 cvzoo - co-(0-0 <br /> SUBDIVISION Da <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> INSTALL F-1 REPAIR <br /> PROPOSED USE 0 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL <br /> DESCRIPTION OF WORK U.S 1C'..IIQ ZaZi&vv�a-- 1-?eJ 2-SeAffi <br /> BUILDING SIZE SQ FOOTAGE 1124(4 Zj,rt- HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ]ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> C> <br /> =MECHANICAL 1$ C)Qb I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 7� ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY JYJC- <br /> SIGNATURE REGISTERED Y/ N ' FEE CURREN I Y/N <br /> Address License# 1 czco,�qc�2 I <br /> ELECTRICIAN COMPANY -5�rn(An RfC4 ,e <br /> SIGNATURE REGISTERED I -'Y/ V 'I' FEE CURREN <br /> Address 00 -54-� n-� 01&y ao-aQ- I License# [EC]h o 6 S 2 <br /> PLUMBER . F COMPANY <br /> SIGNATURE REGISTERED Y/ N I 'FEEI1CURREK 7/N 1 <br /> Address gw fsllft HA License# I C r-c I�2-3- 13 h <br /> MECHANICAL COMPANY 0(-bM2:�i r aAskks <br /> 611) " REGISTERED Y/*N EECURREKV I Y/N <br /> SIGNATURE I FR� <br /> Address 510 3' (4- K&�A(2j,,6-q --wm License# US 33 W <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N -1 <br /> Address 5f-,Sq W�g t 00+9jul ?q(o License# -CC <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 111 1 1 1-1 \01 I I I I <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large 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,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I durripster.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$2500,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 with notarized letter from owne r.authorizing,same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> 'Reroofs if shingles <br /> Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> V ve ays-Not over Counter if on public roadways..needs ROW <br /> ly ewa <br />