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s�a-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> suiwing oepanmen� <br /> pate ReceHed � 1� �tJ + 1 phpna Contact for Pertnildn $� 3 �(0 7_ Z.C3 3�� <br /> � _ <br /> Owners Name r Z�h '� `�'-'•„`^^".� �- r Owner Phone Numbar <br /> Ownefs Add ��51 .jcy�h s'f'• S'f'E ( �-R'� Owner Phone Number <br /> M R4K..�rTl� <br /> Fee Simple TitleFwlder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I�6� ��j` L ��"�� LOT�I �� <br /> SUBDIVISION &Q� R. �Q rftiMatS PARCEL IDI� � �� �� 3�"'D O PO L7 "dI j I � <br /> (OBTAItED FROM PROPERTY 7AX NOTCE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIONOFWORK �u...w��.►- r�/ �'S�/�cx �.���. (I`T.5' ) y� <br /> BUILqNG SIZE SQ FOOTAGE [� HEIGHT �� <br /> �BUII.DING $�� SO� ��Z VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $_���,�.., �P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> —T�a o 0 <br /> QPLUM8ING $ t( ,�^ � �2 <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> T L L <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED F�OOR EIEVATIONS FLOOD ZONE AREA QYES NO <br /> l <br /> BUILDER ` COMPANY c> t� Y� �r✓�G� �/�� <br /> SIGNA7URE �c�s�r�n Y/ N F� cu�n Y! N <br /> naa►� n�. u�� s G I�� <br /> ELEC7RICIAN COMP/WY � � <br /> SIGNATURE r�c�s�r�o Y! N F�ct�n Y!N <br /> Address License �R � � <br /> PLUMBER � COMPANY � <br /> SIGNATURE r�c�s��o Y/ N rg c�en Y/ N <br /> Address License f � <br /> MECHANICAL C�P� <br /> StGNATURE r�c�s�aen Y/ N � cuaaEn Y! N <br /> Address License # <br /> OTHER � COMPANY � � <br /> SIGNATURE r�c�sre�o Y! N F� cur�n Y! N <br /> Address License 8 �—� <br /> Iltlllllllllllllllllllllllltlllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach (2) Plo[ Plans; (2) sets of Building Plans; (1) set of Eneigy Fortns; R-O-W Pertnit for new constrixxion, <br /> Minimum te� (10) working days after submittal date. Required onsite, Construdion Plans, Stormwater Plans w/ Sitt Fence installed, <br /> Serrifary Facilities & 1 dunpster, Site Work Pertnit fa subdivisions/large proJeds <br /> COMMERCIAL Attach (3) complete sefs of B�rlding Plans pus a life Safery Page: (1) set of Energy Forms. R-O-W Pertnit fw new co�strudion. <br /> Minimum ten (10) workng days aRer s��rnilta� date. Requi�ed onsite, ConstrucBon Plans, Stortnwater Plans w/ Sitt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Si[e Work Pertnit fa aB naw qojec[s. All cammercial requirert�ents must meet compliance <br /> SIGN PERMIT Attach (2) se/s of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consUud'an. <br /> Directions: <br /> Fill out application completely <br /> Owner & Contractor sign badc of application, notarized <br /> If over SZ500, a Notice of Commencement is required. (A/C upgrades over f7500) <br /> " Agent (for Me contracta) or Power of Attomey (for the owner) would be someone with notarized letter hom owner authorizing same <br /> OVER THE COUNTER PERMITf1NG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgredes A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter fi on public roadways..r�eeds ROW <br />