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e�saso-oozo � City of Zephyrhills Permit Application raX-u,a-��u-�u�, <br /> , , Building Department <br /> Date Recelved Phone Contact for Perm(ttin - <br /> Owner's Name z-�L� �� � �e Owner Phone Number � �'�3 � ' �3 -' 3 n�`-s <br /> Owner's Address 3 �7/ �o��� �� Owner Phone Number � �'�� ' ?�� - 3�� <br /> Fee Simple Tltleholder Name 2 4-�.�n b���6 �e���=C- Owner Phone Number� �13 ' �� �� �6 o S <br /> ia�t►, 33 s'� <br /> Fee Simple Titleholder Add�ess 3 �' �� �'✓Q Z� 6 �,•'�� 'i <br /> JOB ADDRESS 3 � �( � l a � �✓e 2� ��,,!/ 3 3 S �j' LOT# 6A -7A. <br /> SUBDIVISION � � PARCEL ID# 1 1 ' v�6 "� I 'dU� C� � U l vU -Uc5 ,fi .�}- <br /> (OBTAINED FR08A PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN [� MOVE �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER(---� <br /> DESCRIPTIONOFWORK % rG�^^o�e r G,,n �l o-n� !{e. I cc w�'�"h N�w o �` <br /> , 3n � �e�T <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �� � � � 9 6� ���j VALUATION OF TOTAL CONSTRUCTION <br /> t?at•�� <br /> 0 ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ �'/ 2�Z,J <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY A�I�y'J �°p�`• <br /> SIGNATURE �2EGISTERED / N FEE RRENT Y/N <br /> Address � '(�`'f 9�' Po�c� (,Q� �� ,� v,�le =L 3�bc�! License# CC CO y' 6'��'� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Addres5 � LJcense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANIGAL COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Llcense# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/N <br /> Address Ucense# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Farms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Co�structlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COhihAERCiAL Attach(3)complats sets of Suil�!ng P!ans pliis a Life Safety Page;(1)set of Energy Forms.R-O-W Permfi for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians wi SUt Fence installad, <br /> Sanitary Facllities&1 dumpster.Site Work Permit for ail new projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'*PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fitl out applicatlon completely. <br /> Owne�8 Contractor sign b�ck af appUcation,notarized <br /> if over$2500,a Notice of Commencement is required. (A/C upgrades over i5000) <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 AppBcatlon Only) • <br /> Reroofs Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> + . ... _.. . <br /> "y4 . <br /> 4 <br /> dw <br />