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sis-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> )ate Received $�3 26 _ �d�� <br /> Phone Contact for Permittln <br /> lwner's Name �y �-E K1�1 �j S�► a/�1� M Owner Phone Number �� 3 �j � 5 ' ���. <br /> �uvner'sAddress 3 � 5 �� m �� ZE�»�Rt���i,.vs . .. � � <br /> F 3354 Z Owner Phone Number <br /> 'ee Simple Tltleholder Name Owner Phone Number � <br /> 'ee Simple Titleholder Address <br /> IOB ADDRESS �{ J I� ��A��Y✓O�D L:i�(7Q� Zr Qti�/RH( Ll. S F� �j ��{'Z LOT # �� <br /> iUBDIVISION ��RODV�I��D� E�'I�C�S , PARCELID# (� r Z�"Z� �O I�Q - L`�D�OO' O��O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE Q SFR Q COMM �� OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL Q <br /> DESCRIPTION OF WORK I�S����'T��N l�F ��'� �"� pF1(��.1 Ct4k+N Un► K�EN�E <br /> i�NEA� <br /> BUILDING SIZE '.� FOOTAGE �� I HEIGHT y� N 1!oH <br /> QBUILDING $ <br /> ��fNGF� � i� g� VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING ($ — � � <br /> �- : � Z 3 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER S � � x• � J��� COMPANY r ENC E O�J'T �.t T O F T/}MPA �� N C, <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address '2.�1 5. F�lIsKEN6U2(v �,40 '(qMPA ft3� <br /> Lice�se # C-' 1 � Z S Z <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address LlCense # �- <br /> 'LUMBER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— <br /> AECHANICAL COMPANY <br /> i1GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # —� <br /> ITHER COMPANY <br /> IGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # �— <br /> ESIDENTIAL Attach (2) Plot Plans; (2) sets of Buliding Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> OMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> IGN PERMIT Attach (2) sets of Engineered Plans. <br /> "**PROPERTY SURVEY required for all NEW construction. <br /> irections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement Is requfred. �(/i/C upgrades over 57500) <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> JER THE COUNTER PERMITTING (Front of Applicadon Only) <br /> :roofs if shingles Sewe�s Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />