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,�Z'.e. s�i�,�v P.e•ewrh <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received C� f—' Phone Contact for Permitti� � �7��,�� �� <br /> Owner's Name /�C�i�2/Q,�) /y1.�Dl GC �-- GL �V / CJ Owner Phone Number 1� ��� rf <br /> Owner's Address 38'!3S �aK�`�'s4�4�e� Owner Phone Number —� <br /> Fee Simple Titleholder Name �,� �,Q� i'l' C>� Owner Phone Number <br /> Fee Simple Titleholder Address LdOIL �T' � <br /> JOB ADDRESS .�BI �S Z�/�fY J�P�!`G1cS �-y� 7 LOT # � <br /> SUBDIVISION PARCELID# Oe� �',Z 'OO�O'Q - <br /> (OBTAINED ROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADDlALT � � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DE3CRIPTION OF WORK Z� /_Z � w /J O F ON S£T 30 �l'0�0 FLO�ti�l �p1e.1��4tKic�LQIT <br /> BUILDING SIZE � 3Q FOOTAGE �� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION"� �Z38�p�Q� <br /> S1lrN 3. o Rw►PS <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN SC�I�G�� COMPANY (��V s � ��� �I"�Cr <br /> SIGNATURE REGISTERED N FEE CURRE� Y/ N <br /> Address ��t �j0 � �-4L L ��� License # ��' /� 3 �� 7 <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 O � COMPANY G E n J�'�'`(/<L e. <br /> SIGNATURE � REGISTERED FEE CURRE� Y/ N <br /> Address � L � � ,��'�� License # L.cr/ (� 3 - � <br /> RESIDENTIAL Attach (2) Plot 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/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL 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 8� 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> **""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/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 /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> �o.vs� � ��e�c �� / / `l �' � �3� �� w � @o.�Jsrxu ctcoa <br />