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ais-resu-uu�u C;ity of Zephyrhills Permit <br /> Application Fax-813-780-0021 <br /> Building Deparhnent -- -__ <br /> ,-----' -� <br /> Date Received � - 3 �� k�i 5 r�s�- �76U <br /> Phone Co act for Permittin <br /> Owner's Name l5 iC b(WR(j tiv�'}�TIV li� Owner Phone Number <br /> Owner's Address 3(O 3 0� ��K1 C cX„� ��- p�er Phone Number -� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��'3 C�Y ��-�-'� ��� ��" � <br /> LOT# <br /> SUBDIVISION So�VFJtZAf� (2�� PARCEL ID!! ��I � 2�T Z I -�-�I�� �-(7C}� <br /> (OBTAINED FROM PROPERTY TAIC NOTICE) <br /> MIORK PROP03ED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAfR <br /> PROPOSEO USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK �] FRAME [-� STEEL Q <br /> DESCRIPTION OF WORK �oa� C ;v C(,����� <br /> BUILDING SIZE 2 5 t `�� 3Q FOOTAGEU HEIGHT f Z <br /> �BUILDING a <br /> �Z Cc� C(�D VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> Q PROGRESS ENERGY Q W.R.E_C. <br /> OPLUMBING a �Cf �ZY <br /> MECHAN v�C- /��,- ' "��C!«L_ <br /> � ICAL $ VALUATION OF MECHANICAL INSTALLATION � n �)`�, <br /> )v� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � ' ����-�C� /�,�s��l; <br /> FINISHED FLOOR ELEVATIONS ���� � <br /> FLOOD ZONE AREA QYES NO <br /> "r'� <br /> BUILDER �,^i���/�-�� `=-4^JH. ' ��OMPANY �^'"�"'^��- C ezAw��1'� C�y.,s t-tt-�,cL�i fsi� , <br /> SIGNATURE ��° ' REGISTERED Y/ N FEE CURRE� Y/N <br />'' Address u�3 z 1°�""�( ��� ��1���i�+w] ,?3 � License# <br /> � <br />�j ELECTRICIAN '� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUAIIBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �- <br /> AAECNANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bu(Iding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflitles�1 dumpster;Site Work Permit for subdivisfonsAarge proJects <br /> COMMERCIAL AtNach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Woric Permit for all new proJects.All commerc(al requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY requtred for all NEW constructlon. <br /> r+ a "171i�71��1r}111�71111��1�11�� I <br /> 1 1 <br /> Directiona. <br /> Fill out application completely. <br /> Owner 8 Contractor sfgn back of applfcation,notarized <br /> If over i2500,a Notice of Commencement la required. (A!C upgrades over E7500) <br /> " Agent(for the contrector)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER I�ERMI'fTING (Front of Application Only) <br /> Reroois if shingles Sewers Service Upgrades A/C Fences(PfoUSurvey/Footage) <br /> Oriveways-Not over Counter if on pubiic roadways..needs ROW <br />