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ai�.�aaoo2o City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Departrnent <br /> Dats Racelved �r� ��S <br /> �� r i r t ri Phone CoMaet for Psrmittin _ Z lr C N <br /> c� r rT�r <br /> Ownsr's Name �1..� mCJ�1>£ Q c G <br /> Own�r Phons Numb�r tJ�3 �� 1 'O Ll(o(f <br /> Ownsrs Addross So��g /�Q i�vSw�Li C_ ST Owner phons Numbar <br /> � <br /> Fes Simpls Titleholdsr Nama � i q Ownx Phons Numbsr <br /> Fae Simple Titleholder Address <br /> JOB ADORESS sd�l � �j IZi.I�..�SlJ.�IL S I JZ C'L' j �� <br /> LOT A <br /> SUBDIVISION -�l i��S � I6 J�,, � PARCEL IDk (�- Z(p�-��- O'O I� � 6/.3 C7!- Oa't7L� <br /> (OBTAINED FROM PROPERTV TAX NOTCE) <br /> WORK PROPOSED B NEW coNSrR B ApD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK O FRAME � STEEL Q <br /> DESCRIPTION OF WORK r'1,�' Lrr��'�c1G C.� c�'�G� ��j ��R <br /> BUILDIN(i SIZE SQ FOOTAGE C� HEIGHT � <br /> QBUILDING s <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING g <br /> dMECHANICAL E /_�i1 VALUATION OF MECHANICAL INSTALLATION ��,���� � <br /> ((JVV U <br /> OG� Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA L /��� <br /> QYES NO ,�Y � <br /> / <br /> BUILDER COMP/WY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREf� y�N <br /> Addraas <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGIS7ERED Y/N FEE CURRE� Y/N <br /> Addross <br /> License# <br /> PLUMBER CWMP/WY <br /> SIONATURE <br /> REGISTERED Y/ N FEE CURREt� y/N <br /> Addross <br /> Ucense# <br /> MECNANICAL ^ COMPANY � St le�/l C�° S <br /> 81ONATURE <br /> REGISTERED Y/ N F��U�n �,�N <br /> Md►ess License# �� � � �P tS � / <br /> OTHER <br /> SIGNATURE COMPAIVY <br /> REGISTERED Y/N FEE CURRE� y f rJ <br /> Address <br /> 11111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Fams;R-O-W permit for new construction, <br /> Minimum ten(10)worldng days after aubmittal date. Requlred onsite,Cons}ti�yan Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FacHifies&1 dumpster,Site Wak Permit for subdiviaionsHarge proje� <br /> COMMERCIAL Attach(3j complete sets oi guilding Plans plus a LHe Safety Page;(1)set of Energy Fo�ms,R-O-yy pertnk for new construction, <br /> Minimum ten(10)wqking days alter submittal date. Required onske,Constructipi p�ans,Stormwater p�an$,N�Silt Fence inatalled, <br /> Sanitary Faalkies 8 1 dumpater.Site Work Permit for all new projeds,q�l commercial requirements must meet complia�ce <br /> SIGN PERMIT Attech(2)sets o{Engineered Plans. <br /> '""'PROPERTY SURVEY required for all NEW consWction. <br /> Dinetlons: <br /> Fill out application completely. <br /> Owner&ConVactor agn badc oi applicatlon,notarized <br /> �o�w 52500,a Nodq of Commenesmsnt is roquirod. (NC upgredu over 57500) <br /> " AgeM(tor the contrector)or Power of Attomey(for the owner)would be someone with notarized letter fran owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Application Only) <br /> Reroois if shingles Sewers Service Upgrades A/C Fences(plotlSurveylFootage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />