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"`.� 5 �� r ��""�'� � il i�9� <br /> � s�s-�eaoozo City of Zephyrhills Permit Application Fax-813-730-OC21 <br /> . , BuildingDepartment / ���.— - � �/(�� � < �if ' <br /> �(� / a ' .3 'S %�, L.. I�°,rVF �= <br /> Date Received � --^ <br /> �� Phone Contact for Pertnittin �� - �� u _� <br /> T i —� <br /> Owners Name /,/ �M{ i � J��� Owner Phone Number <br /> Owners Address � LI'�/�'�y R U � Owner Phone Number � _] <br /> Fee Simple Tkleholder Name Owner Phone Number _] <br /> Fae Simple Titleholder Address _] <br /> JOB ADDRESS 3 L °7A7L 1.iL✓a/ ZEPI�`L �1(�LI / r' (� �T LOT # C] <br /> SUBDIVISION � PARCEL IDIf ] <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CoNSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q � <br /> DESCRIPTONOFWORK �6 ��w L�NE � 3� 1 kNE�� �O s��� � ��I(�`GYy1G <br /> �,�1cvGS <br /> BUILDING SIZE � SQ FOOTAGE � HEIGHT � <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ���• oO AMP SERVICE Q PROGRESS ENERGY � W R.E.C. <br /> c <br /> QPLUMBING $ � � ���`� <br /> l <br /> �MECHANICAL $ VALUATION OF M HANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY ] <br /> SIGNATURE REGISTERED Y I N FEE CURREN Y/ N <br /> Address License # ] <br /> ELECTRICIAN COMPANY ] <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address License # ] <br /> PLUMBER � � COMPANY ] <br /> SIGNATURE REGISTERED Y I N FEE CURREN Y/ N <br /> Address License # ] <br /> MECHANICAL COMPANY ] <br /> SIGNATURE R RED Y/ N FEE CURREN Y/ N <br /> Address 1 �l License # ] <br /> OTHER � COMPANY �x �t1STt��q.��'eV�1'��o'lsdv>rr�rs . <br /> SIGNATURE �� REGISTERED Y/ N FEE CURREN Y/ N <br /> Address �zN n� �G 7/� License# �.s0���.�69 ] <br /> Illllllllllllllllllllllllllllllitllllllllllllllllllllllllllllllllll � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Pertnit for new consUuc[ion, <br /> Minimum ten (10) working days a4er submittal date. Required onsite, ConsVuction Plans, Stortnwater Plans w/ Silt Fence installe�d, <br /> Sanitary Facilities & 1 dumpster, Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Atfach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of Energy Fortns. R-O-W Pertnit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Sift Fence installed, <br /> Sanitary Fadlities & 1 dumpster Site Wark 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 consWction. <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 E7500) <br /> '"' Agent (for lhe coMractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <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 />