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s�3-�eo-oo2o City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received � _ - 3 Phone Coc�tact for Permittin �I� �0�- I 6 � <br /> � <br /> Owner's Name �Gt��r �'� Owner Phone Number �"-iCJ� '" �-� � - ��� <br /> Owner's Address .S 13 2f �"�.� S � Owner Phone Number � -1 <br /> Fee Simple Titleholder Name cJ Q MPJ /7 _ ��p�� -� pwner Phone Number (�=!t�1-' � ���.S� <br /> Fee Simple Titleholder Address ,j �3 � �n�-S 5 S� Ze,d l�_j��,,� IJ, ��. 3 3 s�i <br /> JOB ADDRESS S� 3 ZS L �r�SS S f LOT# �� <br /> SUBDIVISION �-nl�n �ei �TS PARCEL ID# � �- zb-2 i - v ib a �- d�� � U 0 - (� �r <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CoNSTR ADD/ALT �] SIGN Q [� DEMOLISH <br /> ' B INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �;, ru.c� <br /> TYPE OF CONSTRUCTION Q BLOCK [� FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 3�D `�C�b� ���G-GG�,e(� G 6i.f+.y � r t� bc:•��� �c:�;� �i� /eS i!/t2d��� <br /> BUILDING SIZE 3 �1� � ` SQ FOOTAGE�--�=u-� HEIGHT I �-� � <br /> �BUILDING $ �� �5� VALUATION OF TOTAL CONSTRUCTION 1 <br /> i �1 <br /> �ELECTRICAL �� q�U J�� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> , l <br /> QPLUMBING $ (�v J� � co� /� <br /> (-. <br /> t L J`'� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � Z s'��Q D Gt-n� <br /> / ��� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER v���O�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES HOty /VOC � ��3"""'� <br /> `� �'� �u�'r'" 3,/�-l3 <br /> BUILDER �,/ ` COMPANY �-��'� C 0��r�7�'�'t Se;��� �n� <br /> SIGNATURE �� �v�,`���^�� REGISTERED Y N FEE CURRE� /N <br /> Address 31 fl �f✓v✓l (��_ Z-e��, ;(�i(S �3 43 License# ��'�d 6 d o��j � <br /> �„ � <br /> ELECTRICIAN ;���/ ��� �y � �COMPANY �z' I�L lz 1 /�L l�C-1 �1(C `' Li (� <br /> SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N �� <br /> Address ��-ff G' �`��L'lti�'f/���. /_� /��l� �I%' License# ��� 3 C�/3�f�"C_ � <br /> PLUMBER � �°• COMPANY C � �;�' LC iti S°U��� '�S �1-( <br /> SIGNATURE REGISTERED / N FEE CURRE� /N <br /> Address 33� n .�n (� ZQ � �;�� �. 3 35 N I License# L��-�`'��-(���Z � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Addreas License# C <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fotms.R-O-W Permit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Stormwater Pla�s w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements rnust meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••*"PROPERTY SURVEY required for all NEW construction. <br /> Dinections: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over ST500) <br /> "' Agent(for the contractor}or Power of Attomey(for the owner)would be someone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />