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s»-�saoozo City of Zephyrhills Permit Applicatio�. ---- -�-��-- �so-ooz� <br /> Building Departrnent ��\, <br /> Oate Received rj. Q'�� phone Contact for Permitd ��� �3 �� � <br /> -r77 r rTr- <br /> Ownars Name V S � Q Ownsr one NN�mber (�'� `S� 1 � <br /> Owner'sAddress /7 i 6 rvl4r�e. � OwnerPhoneNumber �---� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Addross <br /> JOB ADDRESS 1'�'\Q UeVLU.�' �-L � LOT N �iL 3 <br /> SUBDIVISION l`]►aV�� (2DilS�v PARCEL IDAt `� ���7�Z� �a' 1�"��U"o� 37C_J <br /> (OBTAINED FROM PROpER7Y T/U(NOTICE) <br /> WORK PROPOSED e NEW CANS7R 8 ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCWPTION OF WORK l C Q`* ,P� � ;e � <br /> BUILDING SIZE SQ FOOTAGE �T HEIGHT JS� y <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � � I (� h <br /> � lJ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �+� ) <br /> BUILDER � I� COMPANY � G 1� C�. � � <br /> SIGNATURE REGISTERED Y/ N F�ct�trten Y/N <br /> Addreas �T E � �1�.R C t, 3 tt�dd a License S �CC��t'�Qj (� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �c�s�r�o Y/ N Fc�cuw�n Y!N <br /> Address <br /> License� —� <br /> PLUMBER COMPANY —� <br /> SIGNATURE l�GISTERED Y/ N FEE cuRa�n Y/N <br /> Address <br /> License� <br /> MECHANICAL COMPANY �— <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address <br /> license S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�ctxta�n Y/N <br /> Address <br /> License/ <br /> Illlllltlllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDEN77AL Attach(p)plot Plans;(2)sets of guiWing Plans;(1)set of Energy Fortns;R-O-W Permit fw new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilides&1 dumpster,Site Work Pertnit 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 construclion. <br /> Minimum ten(10)working days alter submittal date. Required onsite,ConsUVCtion Pfans,Stomiwater Plans w/Sik Fence installed, <br /> Sanitsry Faalities&t dumpster Site Work Permit for all new projects.All commerdal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required fot all NEW construCtion. <br /> Directions: <br /> Fill out application complelely. <br /> Owner&ConVactor sipn badc of application,notarized <br /> If over 52500,a NoUce of Commencement is required. (AIC upgndes over j7600) <br /> " Agent(for the conMactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner au[horizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Ony) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />