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a13-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buitding Department <br /> Date Received — / <br /> 3 Phone Contact for Permittin 1 �� _ � <br /> Owner's Name Tames� Shtri '�3krns OwnerPhone Number 13���y-9�J S <br /> oW��$�d� 3 555 o W�K�Iers w e�e.,f- l.�n. z/� tfs <br /> Owner Phone Number <br /> 335�! <br /> Fee Simple Tkleholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS -1 Q 7 Q,I�I' �[(/� LOT# �� <br /> SUBDIVISION �rCc,v� �'Or'! ZOn s f� P� pqRCEL ID� 3�"a�s`o�/'O/8d�ODOOO—3S(O <br /> �,,���/// (OBTAINED FROM PROPERTY TAX N0T10E) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN � � DEMO�ISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK 1� � D�d�� C(,.�j'[ D/— <br /> BUILDING SIZE '`�V��� —� SQ FOOTAGE� HEIGHT �� <br /> �BUILDING a a <br /> L ��D� VALUATION OF TOTAL CONSTRUCTION <br />� �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �LUMBING $ l�,y� <br /> '�/ �� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION „L �n.� n�� ��� <br /> J,�� ,r <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER 'i J /� � COMPANY /�'?1C�S jJ�/P,e /yI� �� Ca.!/' <br /> SIGNATURE v`��Ci�� REGISTERED N FEE CURRE� Y!N <br /> Address �59�3 Tu c- l.°1' � Gf1 i��S 3 Sy� License# �H lo�s YD� � <br /> ELECTRICIAN GpMpqp�y � � ��C /�C <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> �d�gg ,�J� �/ Q /�/vc� 3 354�/ �icense# ��� �' <br /> PLUMBER �� COMPANY ff��Z t-°5 ��[Of�i�,�.° h'1`� sT�S�G�I� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Addreas 7j �3 u G C+eY .3 3 S ��- License# ���L�a�- Sy� � <br /> r , , <br /> MECHANICAL COMPANY 7/- 5 Ai�����d�r� <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address � � �3 S�� License# (� �� ��(� <br /> OTHER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit 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&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Satety Page;(1}set of Eriertjy Forms.R-0-W Permit for new consGuction. <br /> Minimum ten(10)working days after submittat date. Required onsiie,Construction Ptans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for aH new projects AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2j sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions. <br /> Filt out application completely <br /> Owner&Contractor sign badc of appNqtion,notar¢ed <br /> If over 52500,a Notice of Commencemsnt is required_ {A/C upgrades over$7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner}would be someone with notarized letter 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 public roadways..needs ROW <br />