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8ia-�eQ-oozo City of Zephyrhills Permit Application Fa�-$��-7eaoo2� <br /> _ w Building DepaRment . _ <br /> '` Date Received - . -- ` � � ..-- � <br /> one Co�tact for Permitting -- <br /> Ownar's Namo D�U T S C N E gA N K N�t��J. � Owner Phono NumMr ' <br /> OwnersAddress � ��1��(hPUS��ES�'`0�1�1ES�ZI"1 '�DJZ OwnerPhoneNumber�� <br /> Fee Simpb Ti[leholder Name Owne►Phone Number�� <br /> Fes Simple Titleholder Address � <br /> JOBADDRESS 3�5y9 NROmT AY�- �£P}�i�R�}�LLS, F(- 33.�'�I2. �oT# 0 <br /> sueav�s�oN PARCELID# a2-Z�D-ZI' OOGO�OV..nV�JOO�1� <br /> (OBTAINED FROM PROPERTY TAX NOl10E) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE '� SFR � COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER�-� <br /> oesc�aPnoN oF wowc �av�� clo z,5 T�N GOY►'��'L�i� C S�iSTi►'M1 ��l� d �} }� �d I ��CW <br /> BUILDING SIZE SQ FOOTAGE I 0 / HEIGHT <br /> � BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE Q PR SS ENERGY Q W.R.E.C. � <br /> � PLUMBING $ � /� � V`� <br /> � <br /> � MECHANICAL $ �'G� �^ VALUATION OF MECHANICAL IN ua--- <br /> � _JlJ <br /> Q GAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY -� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �� <br /> ELECTRICIAN � COMPANY -� <br /> SIGNATUI� REGISTERED Y/ N FEE CURRENT 1''/N <br /> Address License# C� <br /> PLUMBER COMPANY -� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE!!r Y/N <br /> Addreas License# �� <br /> MECHANICAL COMPANY R5 k(�L.TY PLU6►1gl►J6� I,��I JI�JG�Wtx{�lJ� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address -/ / 5 K-!l �L- UW�N � License# CYfC���j��,2� <br /> OTHER COMPANY -� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �--� <br /> RESIDENiIAL Attach(2)Plot Plans;(2)sets ot Buildfng Plans;(1)set of Energy Forms:R-O-W Pertnit for new constructlon, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence instafled, <br /> Sanitary Facilities 81 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sffiery Page;(1)set of Energy Fortns.R-O-W Permit fw new�consWdion. <br /> Minimum ten(10)working days after submiltal date. Required onsite,ConsWClion Plans,Stomn+�ater Plans w/SiR Fence insfalled, <br /> Sanilary Facilities 81 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for alt NEW conskudion. <br /> Dlrections: <br /> Fill out application completely <br /> Owner 8 Corttractor sign back of appficatron,notarized <br /> If over=2500,a Notice of CommencemeM is required. (A!C upgrades over E5000) <br /> " Agent(tor the contractor)or Power of Attomey(for the owne�would be someone with notarized letter imm owner authairing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PlotlSurveylFootage) <br /> DrivewayzNot over Cuunter'rf an public roadways..needs ROW <br />