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$��-���� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildirg Department <br /> � Date Received � Phone Conmct tor Permitli11g i' �� 8'i d_ � y y 6 ����� � <br /> 1 1 1 1 1 1 1 1 1 1 1 7 1 <br /> owners Name IA�E �� S� b�C �M 6� � ,J� �` Owner Phone Number <br /> Owners Address (/1�L•,S �� ` �� �� �— � r2.Owner Phone Number <br /> Fee Simple Tideholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �os aooRess .s�"� G.a � Bt�✓� Zb 1�I�i �-1 L. 3 1 1 Z �or a � <br /> SUBDIVISION PARCELIDY fI'� �'OCI D"'OJ 7(�(i� �0� <br /> �oeTa�o fleoM rnarv�Tr r�x Nonc� <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN � O 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 /> DESCRIPTION OF WORK J'�O L'L- C�A {✓� �— �'��" S � V^ � �A�- � e' v� ;/� . <br /> BUILDING S12E SQ FOOTAGE � HdGHT � <br /> �BUILDING $�. � Q VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAI $ /� AMP SERVICE �� Q PROGRESS ENERGY . Q WR E.0 <br /> QPLUMBING $ `�' "'� C � ���� <br /> l� a�z ������75 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER � 1 COMPANY / I�m�� ��^� �L' <br /> SIGNATURE REC�ISTERED Y/ N FEE cuRREN Y 1 N <br /> Address , JC I�� �' License# C ��,t L <br /> p j Z ,,� � � ,� �� ° � ��,�� - i ,� <br /> �++ l f i� 516NATURE R�BTBIED Y/ N FEE CURRBa Y 1 N <br /> � � <br /> C �jQ[� � Address � Licerise# <br /> r p- oi> 2 1 <br /> (� � 3 � PLUMBER COMPANY <br /> SIGNATURE REGI57ERED Y/ N FEECURREN Y( N <br /> Address �� q <br /> MECHANICAL COMPANY <br /> SIONATURE REC�I5TERED Y/ N FEE CURREM Y f N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE RECa�STEREO Y/ N FEE CURREN Y! N <br /> Atltlress License # <br /> 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach (2) Plot Pla�, (2) sets d Bwlding Plans; (1) set of Energy Forms; R-O-W PermR for newcrostruchon, <br /> Minimum ten (10) wdk�ng days after submittal date. Required onsde, Construdion Plans, Storrrw.ater Plans w/ Sitt Fence instailed, <br /> Sanitary Facilities & 1 dumpster, Site Work Permd for subdivisions/large pro�ects <br /> COMMERGAL Attach (3) complete sets of Building Plans plus a L'rfe Safety Page; (1) set of Ene�gy Forms. R-O-W Permit for new con.strudion. <br /> Minimum ten (10) working days after su6mrtNal date Requued onsite, Construction Plans, Storrrmeter Plans w! SiR Fence installed, <br /> Samtary Facilities & 1 dumpster. Site Work Permit for all new pro�eds All commercal requirements must meet complmnce <br /> SI(3N PERMIT AtNach (2) sets d Engincered Plans. <br /> '"'•PF20PERTY SURVEY required fa all NEW construdion. <br /> D�rections: ' <br /> Fdl out applicatron completely <br /> Owner & Conhada sgn bxk of applicatan, notar¢ed <br /> If overt2500, a Notice of CommencemeM is required. (AIC upgrades over 57500) <br /> " Agent (for the conhactor) or Po�ner of Attomey (for the owner) wrwld be someme with rotar¢ed letter from owner auMonz�ng same <br /> OVER TME COUNTER PERMITTING (Front of Appliqhon Only) <br /> Reroofs rf shingles Sewers Serv�ce Upgrades A/C Fences (PlotlSurvey/Footage) <br /> Driveways-Not wer Courner if on public roadways..needs ROW <br />