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� �,�-�au-uozu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Cothact for Permfttin �, . _7 <br /> �–i`< <br /> Owner's Name /• }C,A� �L,�1J�G Owner Phone Number <br /> Owner's Address 3�'13S/s'lA.ek�sT SQu�a,4� �,o�yry,�;� p�er Phone Number —1 <br /> Fee Simple Titleholder Name Wl� Owner Phone Number � <br /> Fee Sfmple Titleholder Address — <br /> JOB ADDRESS �o�I9 E�LQN.� BLVD. � ',e�yi,G�CS LOT# �� <br /> SUBDIVISION PARCEL ID# G���,Ea pZf-dODD' OO�OO'U�D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MVORK PROPOSED e NEW CONSTR 8 ADD/AL7 [—� SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIUN OF WORK 'T � <br /> •Q io�/ t.v�l.�.l�Tr��e.s �a''Fzo�eip„ �r�o�c,e L cc..��,t c�, <br /> BUILDiNG SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING � f8Vv pJ�o VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING a ��� �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> IVIECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - '' License# � <br /> OTHER / � � � COMPANY G { C/i'c> � .�V1C� <br /> SIGNATURE ���� REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address k/ � � C- .�.�. 3y(�,� License# �'i�.3� f 7� <br /> RESIDFNTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consUuction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permlt for subdivisions/large projects <br /> COMMERCIAL Attach(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 submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <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 consVuction. <br /> �.� <br /> � irec idns• � ,'°'�-, ' <br /> 'F���' ir� t� .. °., : �� �� <br /> ' s n �o appllcaHon,notarized •• ''� �� <br /> If o�ek• „�;�,e�tic� encement is required. (AlC upgradea over 57500) i ���„� .y <br /> " `"°�''''`"/tgerSt(for the� r 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 />