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` si�-�ao-oozo City of Zephyrhills Permit Application Fax-813780-0021 <br /> Bullding Department <br /> o�teR�e��ea 3-3-1�1 3s2 795 _ 2665 <br /> Phone Contact for Pertnitting <br /> ����1 - r <br /> OwnersName FEO• NNT[• MoQTGAGE OwnerPhoneNumber 8�3 997-�86y <br /> 00 /N • 5 � <br /> Owners Address RflPYD �/ S �J7 L�.? Owner Phone Number <br /> Fee Simple Trtleholder Name Owner Phone Number � <br /> Fee Simple Tltleholder Addreas � <br /> JOBADDRESS 52�2 2��N ST• ZEPNyRK/�tS��L ,�,35�/2 LOTi/ [� <br /> SUBDIVISION AI"�E �'REST PARCEI.IDJf 12-26-2/- oo/o- ooloo - co�o� <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED � NEW CONSrR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTA�L REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION �" BLOCK Q FRAME 0 STEEL Q �—� <br /> DESCRIPTION OP WORK HvAC H/N F foNO• CNANGF DdT— 2�I2 7t�N � <br /> BUILDING SIZE �—� SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � <br /> (�rn/��� o CO�t�c�ce� <br /> QAfECHANICAL $ �575 r VALUATION OF MECHANICAL tNSTALLATION �I` <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �I�V�L <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N F�curtRen Y/N <br /> Address License* �� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> �,I '' l�Y A�t� Al� � <br /> MECHANICAL �.Y'In COMPANY <br /> SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 703o QS7EEn/RD• /kP•/1. FC ,3y6S.3 License# C�CO/O �//,j-� <br /> OTHER COMPANY � <br /> SIGNATURE � REG�STERED Y/ N F�cuw�n Y/N <br /> Address License# �� <br /> Illlllllllllllllltlllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construc[ion, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitsry Faalities 8 1 dumpster;Site Work Pertnit for subdivisions/large projeds <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page:(1)set of Energy Fonns.R-O-W Permit for new construction. <br /> Minimum te�(10)woAcing days after submittal date. Required onsite,ConsWction Plans,Stormwaler Plans w/Sitt Fence installed, <br /> Sanitary Fadlitles&1 dumpster.Site Work Pertnit for all new projects.All commercial requiremeMs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consUuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contrac[or sign badc of application,notarized <br /> If over;2500,a Notice of Commencament is required. (A/C upgrades over 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter Trom owner authorizing same <br /> OVER THE COUNTER PERMITtiNG (Front of Application Ony) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoVSuney/Footage) <br /> Driveways-Nol o�er Counter if on public roadways..needs ROW <br />