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s�saao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ��� (1-�f U-S �� Building Department <br /> ( a0 I �j 9fs�- <br /> Dats Received �., 1�-- �� Phone Cor�ct for Permittin �� � �` <br /> Trr - rrrri <br /> OwnePs Name A fi�-T I�(t2�E�s Owner Phone Number �]�> - 1-�7?j� � <br /> ow�rs aaaresa I 10 ! GK.F�� t�� 3�D L.� �O�IAe,, pwner Phone Number <br /> Fee Simpie Titleholder Name G Ty oF �PN �IR.N � c_L_S Owne� Phone Number <br /> Fee Simple Titleholder Address �3 35 �� Sr ��:Q{.� ! LC s � L 3,35 �}- Z. <br /> JOB ADDRESS 3� ( ZZ N� � �fL 2 EP�F �-I I LLS � 3 3 t� LJ- Z LOT # �� <br /> SUBDIVISION `r'�I 5�/� � PARCEL ID#� fl2 "'2fo� Z�- 6�0- j�,�pp.. 6o O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR 8 ADD/ALT � SIGN O Q pEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM '� OtHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q - PN UN �fZ, <br /> DE8CRIPTION OF WORK ^ l T tJ(� S 6 N"T�LECDM �,t)� � I1fD �{p�(SE7'b ��, <br /> BUILDING SIZE �_ � 3Q FOOTAGE �� HEIGHT �_ <br /> �BUILDING $�' 1 o�,OO VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRiCAL $ � AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ � � <br /> q % � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �i Z � � <br /> QGAS Q ROOFING [� SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> . . . <br /> BUILDER � / / '� COMPANY "����'1 !� �ix,4a✓ � `rr.�r, c;7. y ,c.s <br /> 31GNATURE ���'`�'`'�/ � �� REGISTERED Y! N FEE CURRE � Y/ N <br /> Acldress ° Q . o o2.1 bq �nlDa►J �t. 3�A� ticense # CC�GO4 I 3 <br /> E�ECTRICIAN COMPANY <br /> SIQNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> �d� License # � �l <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 <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # -� <br /> IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllll <br /> RESIDENTIAL Attach (2) Pbt Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sik Fence installed, <br /> Sanitary Facilities 8� 1 dumpster, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permk for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit ivr afl new projeds. All commerc.ial requirements must meet compliance <br /> 31GN PERMIT Attach (2) sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> . . . ... . ... . . <br /> Directions. • <br /> Fill out application completely. <br /> Owner 8� Contractor sign badc of application, notarized <br /> If over;2500, a Notice of Commencement is requlred. (A/C upgrades over s7500) <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 Applicadon Only) <br /> Reroofs if shingles Sewrers Servioe Upgrades A/C Fencc�ss (PIoUSurvey/Fo�age) <br /> Driveways-Not over Counter if on public �oadways..needs ROW <br />