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sisasaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone ConWct for Pertnitting (J�3 'f�g �8�0 <br /> T <br /> OwnersName LOkN WND�NG Spl,ur�oNl YL��GG pwnerPhoneNumber b12�$ 'r'�(" 3�Z6 <br /> OwnersAddress �6 Si �TM st. k�NNERpOUS NN � S�T�Z <br /> 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � I PRE `�1 PON D R D. Z EPNY R Ntu. LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OB7AINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTtt� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK IIE �{I Ip OF M1OpI�S tO A�+e'1 !� GE T � '[p �, <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ j D I 2 � VALUATION OF TOTAL CONSTRUCTION <br /> � � <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ � r �s C.� <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ��Y/A,(,� COMPANY ILUAMS MPRIVY 7AMPA <br /> SIGNATURE �%�� REGISTERED Y/ N FEECURRE� Y/N <br /> /� —"-� TAN�I,pA� Fl. 3363�{ <br /> Address 5402 8�►vnoNT T R Q�I.VD �1�1 License# CVG � 3 <br /> ELECTRICIAN '�� y / � r� COMPANY [JC 1" L-G GTI�(L �-l"�L ����- <br /> SIGNATURE V V \/ REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address �3 �7 �DNCe� B.�s.P�r►C fia.�� L 33G3S License# � ��(7 2�/� <br /> PLUMBER �' COMPANY Moat�ry�,�1a:.,.4=••.c. —� <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address ��q� ' p���4'^� �d���''� =wvw�' eK �sy License# <br /> MECHANICAL 3COMP NY 1���-����'( �A��-�S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��� ���✓� ��— Q�(.Lds�'N License# GMC�Z4'9�l V <br /> OTHER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(i)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWctian Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&t 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 E2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> *' Agent(for the contractor)or Power of Attomey(for the owner)v✓ouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />