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� <br /> eis-�ao-oozo City of Zephyrhills Permit Application Fax-£t13-780-0021 <br /> Building DepartrpeFH-- — -___ <br /> , r' <br /> Date Received Phone Cont ct for Permitting �� S G� —�J�(y� <br /> rr�rr � � i - --r� r� � <br /> Owner's Name �1. C�, fI1 �{AlIUIC$ ^ v�,[• iA Owner Phone Number <br /> Owners Address Y � J�a {i"�1�+ � ' y D �ner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS ���� ��M'-�`wf��/� �" C�r. Ze �L J� 0 LOT# [� <br /> SUBDIVISION lJ'GStVI� � 1S PARCEL ID# �J� ZJ�ZI � O�2� " �—' VO�U <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR n ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL �V REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q �� <br /> DESCRIP110NOF WORK 1 1 �I�1� �\��I��^�Oh � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ �� r�� VALUATION OF TOTAL CONSTRUCTION <br /> w <br /> �ELECTRICAL $ �'��h•p AMP SERVICE Q PROGRESS ENERGY � W.R E.C. <br /> V <br /> �PLUMBING $ ��f 0� ��� � <br /> � .��2 <br /> �MECHANICAL $ VALUATfON OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 5 �o y'` <br /> K <br /> BUILDER � COMPANY J•C• �� Y �j��") , <br /> SIGNATURE � REGISTERED ! N FEE CURRE� Y/N . ��� <br /> Address V r• ��� �Y�'� License# l�� l•� �� ; �O �O�l7���y <br /> ` �k� �'l•�7. ', 1 �D�' '�' �Yl �1/Z�',GrS <br /> ELECTRICIAN MPANY <br /> SIGNATURE I� � REGISTERED N FEE CURRE� Y/N ��v j'k�✓n!'� <br /> � �J�S OU'flj ��� .;�� License# D� 2� ��1�v g7l� <br /> ddress <br /> (�� J <br /> PLUMBER `�/�COMPE ED Y'/ FEE CUn n Y/N � ���� <br /> SiGNATURE Y[ <br /> Address D � or� 1 �. ���/ License# j/ V. <br /> � (\ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Address License# �� <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Ariach(2)Plot Plans;(2)sets o(Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fe�nce installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sefs of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application compietely <br /> Owner&Contractor sign back of app�ication,notarized <br /> If over Ez500,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�f shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />