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s��-�saoo2o City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building DepaAment <br /> Date Recehed Phone Confact for Pertnidf <br /> T7-�7--�—��- — <br /> Owners Name C Ct rD� �/vl�t �Y'!/� pNr�er Phone Number 'TI�—DY <br /> Owhefs Address � C .� 0 Owner Phone Number <br /> fee Simple TitlehoWer Name Owner Phone Number <br /> Fee Simple 7ideholder A�ress <br /> JOB ADDRESS Z. /Y� l r � �— S� LOT# ! 1 <br /> SUBDIVISION a PARCELID� S' ' �— '" DOO —O/ D <br /> (OBTAINED FROM PROPER71'TAX NOTCE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUC71pN Q BIOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 1 H �Vj�� <br /> BUILpNG SIZE � Sp FOOTAGE ���p HEIGHT �� <br /> QBUIIDING $ 3 ��,O b VALUATION OF TOTAL CONSTRUCTION <br /> QELECTR�CAL y AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE �c�s�a�o Y/ N F�c�n Y/N <br /> Addrass License� <br /> ELECTRICIAN I � ��P�� Y/ N �cutREn Y!N � <br /> SiGNAILRE <br /> Addrass License/ <br /> PLUMBER � COMPANY �— <br /> SIGNATURE rt�c,�s�rt�o Y/ N F�curt�n Y/N <br /> Address License� � <br /> MECHANICAL � COMPANY � --� <br /> SIGNA711RE r�c,�s��o Y/ N �curs�n Y/N <br /> Address License• � <br /> OTHER � COMPANY /�I�� <br /> t c <br /> SIGNATURE �c�s��D / N r�a�n , Y/N <br /> � i ��ri�i$� i � i � � � � � � ii � ���V� ��P��� �� � / �� ��i � � � � � � ���i � � iii � i � � ii � i � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildinp Plans;(1)set of Energy Forms;R-0-W Pertnft for new construction, <br /> Mirrimum ten(10)working days after submitta�date. ReyWred onsite,Consryuctpn Plans,Stonrnvater Plans w/SiR Fence installed, <br /> Sanitary FaciliGes&1 dumpster,Site Work Pertnil for subdivisionsAarge pojects <br /> COMMERCIAL Attach(3)complate sets of Bulding Plans plus a LiFe Safety Page;(1)set of Enerpy Fams.R-O-W Permit for new construdion. <br /> Mirrmum ten(10)working days aRer supmitlal date. Required onsite,Conshuction Plans.Stortmwater Plans w!SiR Fence installed, <br /> Sanitary Facikdes&1 dumpster.Site Work Permit for all new projects.All cammucial requirements must meet oompliance <br /> SIGN PERMIT Attach(2)sets of E�pineered Plans. <br /> ""PROPERTY SURVEY required for all NEW canstruction. <br /> Directions: <br /> Fill out application cwmpletely. <br /> Owner&Contrador sign badc of application,rrotarized <br /> IT over 52500,a Notice of Commencemont is required. (A/C upgrades over S7b00) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TNE COUNTER PERMITTING (Front M Application Ony) <br /> Reroo/s'rf shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />