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e��-�eaoo2o City of Zephyrhills Permit Application Fax-ei�-�eo-oo2� <br /> _ Building Department <br /> Dats Rsealved Phone Cornae!tor Permiltiny ��3 c�7� _ C�e.(b�-� <br /> T 7Z'TT Tr-T T7"Y <br /> Ownsrs Nama (L S � Owner Phona Number �� ���!�f �� �z�+0 <br /> o�,.r:nda� 3 7 S 4� �-i�� �x� �v�e Owner Phone Number �-� <br /> Fee Simple Titleholder Nama N � � Owner Phons Numbar <br /> Fae Simple TMleholder Addrass <br /> JOB ADDRESS �I S� ��� e A ��E� . LOT d � <br /> SUBDNI810N CRA.-�� � Q��`�`� ppRCEL IDN �{�O� `�'� ^E'��� - 60 O C�c;,� :�`/L u <br /> (OBTAINED FROY PROPERTYTA7(NO'fIC� <br /> WORK PROPOSED B NEW CoNSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK A`C C:�r�i�„7 r�p Z,�- 3 ,S° i L�-1 ��[� u u� '� <br /> BUILDINO SIZE Sq FOOTAGE� HEI(iHT � <br /> QBUILDING E VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ ��.l I VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY <br /> S�GNATURE REGISTERED Y! N FEECURREI. Y!N <br /> Address License# <br /> ELECTRICIAH COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Addross License# <br /> PLUMBER COMP/WY <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addross Lkense# <br /> MECHANICAL � COMPANY ��� ..3C,R�L 1 C e S <br /> SIGNATURE � REGISTERED Y/ N FEE CURREt� Y/N' <br /> Addross �0�3 @�PO.� �D 13�v'c� !f}s�"� ' License# L/}� /��L 0�( 5� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submtttal data. Requlred onske,Conatrucfion Plans,Stormwater Plans w/Silt Fence instelled, <br /> Sanitary Faalities&1 dumpster,Site Work Permit for subdivisions/large projecta <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new constiuction. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fadli�es&1 dumpster Site Work Permit fa all new projects.All commercial requirements must meet campliance <br /> SIGN PERMIT Akach(2)sets of Engineered Plans. <br /> '""'PROPERTY SURVEY required for all NEW construction. <br /> �.ai.� � � � i � • � � � � � �- • � � �ii � � u • � � � � i � <br /> Dlroctlons: <br /> Fill out appliption completely. <br /> Owner 3 Contrador sign back ai application,notarized <br /> H over 52500,a Notiee of Commancemsnt is roquirod. (A!C uppndas ovs�57500) <br /> " Agent(tor 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 Appllcatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PbUSurvey/Footage) <br /> Driveweys-Not over Counter'rf on public roadways..needs ROW <br />