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e�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Recsived . 6 <br /> Phane Contact for Parmlttln ��� <br /> Owners Nama �• � Owner Phone Numbar D��j "� 2.3 <br /> Ownars Addrsas <br /> Ownar Phone Numbsr <br /> Fee Slmple Tltlaholder Name Owner Phons Numbsr <br /> Fse Slmple Tltleholder Addrsas <br /> JOB ADDRESS r � '�35�2. LOT# ��V�/S <br /> sueawsioN G� t-�s PARCEL IDIt 1 -Z�- 2�..��V,.d2 � - i � <br /> (08TNNED FRON PRppERTY TA%Np710E) <br /> WORK PROPOSED NEW CONS7R ADD/ALT SIGN � � DEMOLISH <br /> B INSTALL B REPAIR ��R�F <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �—�� <br /> DESCWP710NOFWORK r.e,�m�;/¢,rr�c,5ti r�y��� .��� �..nrn /'� � <br /> ��r <br /> BUILDING SIZE SG FOOTAGE �f S ' " /SJ.�N, �j ����,� <br /> � � � � � � � � � � � � r, <br /> t �o._� � � <br /> QBUILDING a <br /> '� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE <br /> Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / i, %� / � 2/ <br /> QGAS ���� / <br /> Q ROOFING a� SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO n �7 <br /> l L <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. <br /> Y/N <br /> �d�$ License# —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGI5TERED Y/ N fEE CURREA Y/N <br /> Addresa � <br /> License# <br /> PLUMBER COMPANY � <br /> SICaNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address � <br /> License# <br /> MECHANICAL COMP/WY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� y/pJ <br /> Address <br /> License# <br /> OTHER COMPANY �AY,�,���� �Qyy�� � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N ' ."� <br /> �,d.e.s i 7 �5 �Ui SUSSo���# � 2� 22 <br /> � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W pemi�t for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities$1 dumpster,Site Woilc Pertnk for subdivisionsAarge projects <br /> COMMERCLqL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new consVuction. <br /> Minimum ten(10)walcing days after submittal date. Required onsite,Construcfion Plans,Stormwater Plans w/SiR Fence insTalled, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.AII commercial requirements must meet cpmpliance <br /> SIGN PERMIT Attach(2)sets oi Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consWction. <br /> Direetions: <br /> Fill out application completety. <br /> Owner&Contrector sign badc of application,notarized <br /> N over 52500,a Notica of Commenc�meM Ia rsquired. (A/C upgradaa ovx 57500) <br /> " Agent(for the contractor)or Poo�rer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OV R PERM1TTiNG (Front of Application Only) <br /> eroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/FootaAe) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />