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' s�aaao-oo20 ' City of Zephyrhills Permlt Application • rax-n,.�-�uu-uu�, <br /> Butlding Department <br /> Date Received Phone Contact for Permtttin — <br /> Owner's Name 2� vl , �7' > �G' Owner Phone Number 8►3 7!3 �3� <br /> Owner's Address � 9 3�� � '� f�' � � h� �1.�•�/S 3� s`f"3 Owner Phone Number t �'!3 6 O <br /> Fee Simple Titleholder Name Z vh � + l.� �� Owner Phone Number i ���3 /3 3 L�o <br /> Fee Simple Titleholder Address � 9�L� � `��' S� 2e ,�� (-�.�! �3��� <br /> JOB ADDRESS �q 3�� ' � �S�" Z e � �,,!! 3 3 5`f LOT# J��' 6 <br /> SUBDIVISION � PARCEL ID# I I -a G a� ' �c�10 �� �`i'i�> , ��S�' � <br /> (OBTAINED FROIiA PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN �J 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 /> DESCRIPTION OF WORK �TC' 1�`G'-vvw✓ O (�� e o-v��- �"G' /J �J-e ' ✓ � /Y�t-' 'v �.n 3 v�e[ <br /> BUILDING SIZE �--� SQ FOUTAGE HEIGHT C� <br /> � {'�� $ y'9 67. ��v VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> , ,,, <br /> Q PLUMBING � � /� ��� � <br /> ! <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS Q ROOFING [� SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> BUILDER � � COMPANY A��S nao�F.' <br /> SIGNATURE REGISTeRED Y! N FEe Cu NT Y!N <br /> Address 1��9�' l'OnC� 1�C� �eo . FL� 3�l-�� Ucense# c e c a v-6 9�-� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Addres5 � Ucense# <br /> PLUMBER C�MPANN <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address Lice�se# � <br /> MECHANICAL COMPANY <br /> SiGNATURE REGISTERED Y/ N �cuRReNr Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Permit for new construcUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumps#er;Site Work Pennit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permlt for new construcUon. <br /> Minimum te�(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/S(It Fence installed, <br /> Sanitary Facilities&1 dumpster.8ite Work Permit for all new projects.All commerGal requirements must meet compUance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •w+wPROPERTY SURVEY required for all NEW construc8on. <br /> Uirections: <br /> Fill out appflcatlon completely. <br /> Owner 8�Contractor sign b�ck of appUcatlon,notarized <br /> if over;2500,a Notice of Commencement is required. (A/C upgrades ove�:5000) <br /> *" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone wiih notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Applicadon Only) <br /> Reroofs Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> .y,,,.:i�^'« i . . ' _ " ' .. <br /> , 1, s. . <br /> , � . � <br />