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a�saao-oo2o City of Zephyrhills Permit Application Fax-til3-/FtU-UU11 <br /> Building Department <br /> Date Recelved � 5- � � r Phone Contact for Permittin � � � � � � - � `�� � <br /> Owner's Name A'� M �Q'�'� � �="r'� �j Owner Phone Number � � �' - � � � _ � � � � <br /> Owner'sAddress � �- ��'� �a�a � �-RK°��`'�� OwnerPhoneNumber <br /> Fee Simple Titlehoider Name r Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3�G'��g Ev'��GQ��� vti1,�,A-t�t. p�. ,'zgPN�C�N\v�S,F1.335`i� LOT# � <br /> SUBDIVISION � . PARCEL ID# �a��� p ''� 1 �� C '�� � b 5��'t' ��' �`'Z� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT 0 SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q� OTHER A�ES:�C � S'r'f�v.UT�6z <br /> TYPE OF CONSTRUCTION Q BLOCK �� FRAME STEEL <br /> DESCRIPTION OF WORK A�- u • �C��� �/OY1 [Al <br /> BUILDING SIZE �`� � x �� � SQ FOOTAGE � 1 � HEIGHT a t <br /> [�BUILDING $ , � i -� � �„� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMB�NG $ � ��C � 0 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � � � �` <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �' " Uv <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��( l�� <br /> BUILDER — �� v ' COMPANY � � � � �'�' � S��` � � L � � �. <br /> SIGNATURE REGisretteo / N FEE CURRE� `/ N <br /> Address � S� �i, Ze{°�i7rh.11� ��1.. �3.7�41 License# ��ZC... 151 1 l�7 � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER -- - COMPANY ��,M A� �. Gcu �� 1-> C�-� � S J� � <br /> SIGNATURE REGISTERED L� / N FEE CURRE� (1V <br /> Address ?ab �! � � S R �� , 2 tP,.. �Hr ��..s, i-L ? -',J'� License # �- �-G � 3 � � � � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new construction,. <br /> Minimum ten (10) working days after submittai date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construcdon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All wmmercial requirements must meet wmpliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""`PROPERTY SURVEY required for all NEW consUucBon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Confractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is required. (A!C upgrades over E7500) <br /> ** Agent (for the contractor) 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 />