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e���eo-oozo City of Zephyrhills Permit Application Fax-813780.0021 <br /> Building Department <br /> Date Received phone Confact for Pertnittin <br /> _�Tt �/� - C, <br /> Owrrer's Name � S a N 1 1 ��� Owner Phone Number �� 3��� 3� a! 3�- <br /> Ownels Address 5�► y a q S t 2e h � � l S Owner Pi�one Number � <br /> Pee SYmple Titlaholder Name pwner Phone Number �- � <br /> � Fee Simple TiGeholder Add►ess <br /> JOBADDRESS y Z q�'' s� e �2 h. I LOT# r�Q= � <br /> SUBDIVISION C� � 0' L f //• �) PARCEL IDIf ��'` ot �" � � 0 � �' � � Q �"� � S Q <br /> (OBTAINED F(tqi PROPERTY TIU( NOTCEI <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRtPT10N OF WORK e 0.J'� G1 � � S� S r� f 0 l� r� 4 1 r S t /1 C.� �V11 �'l e S <br /> BUILDING SIZE � I I� SQ FOOTAGE I/ y � HEIGHT � <br /> QBUILDING S" /1 Q� VALUATION OF TOTAL CONSTRUCTION <br /> CJ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� � /� �Q� I „ <br /> I �'!! <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS '�[`�/ ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> � SIGNATURE �i� �J�@�(`r ,v` �� � � �M� Y / N CURREn �N � <br /> Address 8�) ( lY '�- `(�i S) i✓� ��. e�' L_ 3 7�p 3 �icense # e CC i 3 z 5 sa s � <br /> ELECTRICIAN � COMPANY � <br /> SIGNATURE REGISTERED Y/ N F� cuRREn Y/ N <br /> Address License # <br /> PLUMBER COMPANY � <br /> SIGNAIURE �cls�D Y! N FEE cure�n Y! N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISiERED Y/ N � cua�n Y! N <br /> Atldress License # �� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new constniction, ' <br /> Minimum ten (10) wortcing days after submittal date. Required onsite, Construdion Pla�s, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site WoAc Permit for subdivisions/targe projects <br /> COMMERCIAL Attach (3) camplete sets M Buildinp Plans plus a LHe Safety Page; (7) set of Energy Forms. R-0-W Pertnit fa new conslructlon. <br /> Mlnimum ten (10) wortcing days after submittal dale. Raquired onsite, Construdion Plans, Stormwater Plans w! SiR Fence installed, <br /> Sanifary Facilities & 1 dumpster Site WoAc PertnN for all new projects. All commercial requirements must meet compli�ca <br /> SIGN PERMIT Attach (2) sets of Enpineered Poans. <br /> ""`PROPERTY SURVEY required for all NEW consWction. <br /> Directlons: <br /> Fill out applicatfon completely <br /> OMmer 8 ConVadar sign back of application, nolar¢ed <br /> If over s2500, a NoUca of Commencement is req W red. (A/C upgrades over 57500) <br /> " Agent (for the coniractor) or Power of Atlamey (for the owne� would be someone witF� �otarized letter from avner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicalion Ony) <br /> Reroofs if shingles Sewers Service Upprades A/C Fences (Pbf/Survey/Footape) <br /> Driveways-Not over Couoter'rf on public roatlweys..needs ROW <br />