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s�3-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Fteceivgd Phone Contact for Permittin — <br /> Owner's Name ��Te-/�{ D 1��N� Owner Phone Number <br /> Owner's Address 3���� l��1—��s �l�'�' Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I`1 I C � C. C—�h%�S / R J.- LOT# [y�� <br /> SUBDIVISION I�...0�l� � S , PARCEL ID# 3�°2l�.��� �r� �Q o��v _ �J�G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � G�'�-h 'G(�'f— - 3 I �• �• � �J ��^-�^ � �� V��� s p�� T <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �/ Z�� <br /> � � 41 ' <br /> QMECHANICAL $ ��5�OD VALUATION OF MECHANICAL INSTALLATION ���(� <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER ( <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL ��� �(�Q���,� � COMPANY �i� �} �l� c0�'� � C�..LG <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address a3 �J ��Erno 2�A� r3�-u�IJ License# �C�,3�7.SJ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;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 subdivisions/large 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 const�uction. <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 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$2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> "* Agent(for the }eF�pe�.A�d� )would be someone with notarized letter from owner authorizing same <br /> OVER THE COUN ���,F,�������` �F t qf� � nly) <br /> Reroofs if shingles f;,Se��,������ '� Fences(PIoUSurvey/Foo ° ry � „ , ^,�r�� <br /> Driveways-N 41����tc�p4rmt�s����e=:r:.�� ., �^ �~ �W ., `.„a� rtr �,1.,P i; ,.:. ' , � � <br /> � `i"7�APi J;.Q�,..�,,` .{��V�Sd �tor V,K�}. <br /> •++�,v+.r�wre+�+, , t'FSY�';� �3 'A ��ik.?,�tiu". ��rt.<.'�� <br /> :ip r iR�i��hi�c3!.:6 . 'h�� ` �� _ <br /> �CM+wwr+.,-,...� . 1 !' <br /> . x,,: <br />