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��s-��o-002� City of Zephyrhills Permit Application raX-���-,°�-���� <br /> Building Department <br /> Date Received phone Contact for Permitting ��3 �s� -- � <br /> Owner's Name I�I1�?/1L�� �/��'7ig�v OwnerPhone Number �3 ^ 7�3^ UZZI� <br /> Owner's Address .���a y sf�` �}VE ZEF'N�i�f����`.�3sy Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3���z y .5�'� �c �rH r�.���� � �3S`�2 LOT# �� <br /> SUBDIVISION � PARCEL ID# lf'2��a�'� vd/D. -'/"7UOv— (,�ij�0 <br /> (08TAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NSW LONSTR e REPAIR � SIGN Q MOVE [� DEMOLISH <br /> PROPOSED USE � SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER —I <br /> DESCRIPTION OF WORK L'�LA�L� � NI/J�C'1�f S'�Z�� f�zE'� ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING $ �va > VVAIUATION OF TOTAL CONSTRUGTION <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING I$ — /�V ( v <br /> � � <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � GAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES ONO <br /> BUILDER COMPANY �/�E/�n1E�CP07 /i17'{�/�'Id��L�✓/�1 <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRENT Y I N <br /> Address 7/�'L,Jt`Y CN ;�7c!.'/� /'A�fkt fZ �'?��4 License# C�R�D y�o���'� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �— � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciliiies&1 dumpster;Site Work Permit for subdlvisions/large 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 installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requireme�ts must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"`PROPERTY SURVEY required for all NEW construcUon. <br /> Directions <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> '* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> ❑riveways-Not over Counter if on public roadways..needs ROW <br />