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813-7�20 City of Zephyrhills Permit Application �„ .u,,...,�___r_--� z� <br /> 6ui�ding oepann,ent <br /> D°�R��� � / � � -1 Phone Conqct tor Permitti �S S 9 2 _ S3�8 +' <br /> -rrn� <br /> ownersName M/�� 0 1 VE�W00 -TA Z 1 <br /> Owner's Addresa Q �(,�7 �0 �P Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOBADDRE3S � Z7V M (�n1�V� � LOTA ���I 11O <br /> SUBDIVISION M��WOOD Ej���i� PARCEL IDM (3� 2�0�Z 1 � �I O � ODO�D' 1O�� <br /> (OBTAINED FROM PROPERTY TAIf NOiICE) <br /> WORK PROPOSED B NEW CONSiR 8 ADD/ALT Q SIGN Q Q DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q B�OCK Q FRAME Q STEEL Q <br /> DESCRIP770N OF WORK ��P�.�1(�. 1 W s I • � <br /> BUILDING SIZE �� SQ FOOTAGE� HEIGHT �� <br /> QBUILDING a 30-7`�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUM8ING a � �� �, � <br /> QMECHANICAL $ VALUATION OF MECHANICAI INSTALLATION � <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FIOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � /�Lyd pv')►'\ ��/�/�0.�+ S <br /> SIGNATURE �c�S�r�o Y/ N r�curt�n Y/N <br /> Addresa �j�sg f � <br /> EIECTRICIAN � COMPANY � —� <br /> SIGNATURE REc,Is7ERED Y/N FEE cuRREP Y/N <br /> aaa�S uce��s <br /> PLUMBER COMPANY �— —� <br /> S�GNATURE � r�c�s��o Y/ N r�cur�n Y/N <br /> Address License� � <br /> MECHANICAL � COMPANY —� <br /> SIGNATURE Reqs7ERED Y/N F�cuRREn Y/N <br /> nadress Lioense s <br /> OTHER � COMPANY <br /> SIGNATURE r�c,�S1ERED Y/ N FEE cts�En Y/N <br /> Address License� —� <br /> ' 111111 / 111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)�ts M Build'mp Plans;(1)set of Energy Fortns;R-O-W Pertnit for�ew construction, <br /> Minimum ten(10)worlcing days after submidal date. Required onsite,Conatruction Plans,Stormwater Pians w/SiR Fence installed, <br /> Sanitery FaciRties&1 Qumpster;Site Work Permit for subdivisions/lerye projects <br /> COMMERCIAL Attach(3)complete sets W Buitdinp Plana plus a Life Safery Pape;(i)set of Enerpy Fortns.R-O-W PermR for new construction. <br /> Minimum ten(10)watcing deys after submittel date. Required onsite.Consbuclion Plans.Stormwater Plans w/Silt Fence instel�ed, <br /> Sanitary Facalities 8 1 dumpster.Ske Woiic Permi[for aN new projeds.Ail commercial requiremenis must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineer�ed Plans. <br /> ""PROPERTY SURVEY required for aN NEW caretniction. <br /> DirecUons:• <br /> Fill out application campletely. <br /> Owner 8 Contrador sign back of application,notarized <br /> If over 52800,a Notice ot Commencemw�t ia requlred. �A/C upprades over=7500) <br /> " Agent(tor the contracta)or Power of Attomey(for the owner)wouM be someone wiTh notarized letter frnm owner authoririnp same <br /> OVER THE COUNTER PERMITTING (Front of Applicafan Ony) <br /> Reraofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footape) <br /> Driveways-Not over Counter'rf on public roadways..�eeds ROW <br />