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o i,s-iou-uutu C;ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � Date Received �C�_/�— ZO�3 Q/3 <br /> Phone Contact for Permittin C� 3ss __ //9s ��c� �' <br /> Owner's Name SK�d 11�E C�rY GTY oF ZE'py y,Q,yju pWner Phone Number 8/3—783-� 93 9 <br /> Owner's Address �Z�/ S`1�CYd�f�E' (��/E Owner Phone Number /3-398-698/�T.�f', y ,� <br /> Fee Simple Titlehalder Name C�r y o,F �Hl�c�s �iR�,e7� /,�t_ _er Phone Number � <br /> -Ju�Nn <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �ZYI sK�,d�vE L��✓E Z,6P1�YI�f//l,LS� �G 33 s�f2 LOT# r�� <br /> SUBDNISION /Y�A• PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED B NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER [�— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �'���L ���7'io�/oF ,P�srRoa,h ��r�o,e o�vcy �►,�,✓r<6-sr a,cFic.� <br /> BUILDING SI /,Z�X �i'`O� ��itqX. 3q FOOTAGE �8o HEIGHT / �D oR— .� <br /> BUILDING $3����, o o VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL a qoo• oo AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> PIUMBING $/�600 • o0 <br /> � /�s�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> .. � <br /> BUILDER � �OMPANY �A�K �'��r��i�� • <br /> SIGNATURE W/LLIA� �.•B�CK REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 39035 C/T9QEL C1d. Z/fius,Fi 33sy2 ST. (,+&�.T. � <br /> aDtJBLE ��/n����C. License# <br /> ELECTRICIAN l �' ��' COMPANY ^,� ��L� ��C-- n po��jL2 � � 'C. <br /> � �`l r.5 lf-�/� � ��1� ��'f1 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address T�� �G !l���� ���' �/`f l��L Gl l �G �,j,7 � L(cense# b:���3 ����..0 <br />;/h01C d�N� PLd� �� � <br /> r�.UMBER �, '� t��9Me � � �.0 l�C �U� <br /> SIGNATURE '��� TERED "� / N FEE CURRE� Y/N <br /> Address � � l 4 ' LlJ}, Z�{ �� �l.-T"� l�Z6 �� <br /> License# <br /> IMECHANICAL ��� `���� " � G . � tiv� <br /> COMPANY <br /> SIGNATURE S � REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —1 <br /> OTHER COMPANY <br /> --___.___._.-- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Athach(2)Piot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days aiter submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 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 Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittat date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW constructlon. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicaHon,notarized <br /> If over t2S00,a Notice oi Commencement is required. (A/C upgrades over 57500) <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 AppHcaUon Only) <br /> Reroofs if shingles Sewers SeMce Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />