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s�s-�sa-oozo � City af Zephyrhills F'ermit Hppncauun • -•• • -- --- <br /> Building Department <br /> Date Received � " , <br /> Phone Contact for Permitting ��3 ��� <br /> Owner's Name ta�����`� �^VrC� o'� Z��y��'`��l5 Z-✓�c- Owner Phone Number �l3 � 7b'�-S'.3'(�� <br /> Owner's Address b��� �� ��2 �4� � fh��5 FL 3� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple�Title{holder Address <br /> JOB ADDRESS ��� � y � ��'�� �C� ����/���C�S 6�G �-���� LOT# C� <br /> SUBDIVISION �— � PARCEL ID# �3�af�`a�!-Oorc �0,9�oU -- doco <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q MOVE � DEMOLISH. <br /> � INSTALL � REPAIR <br /> PROPOSED USE Q SFR '�J COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK ���dL ��2-� ������� ��/�/%�D� <br /> BUILDING SIZE �%X ���,� �yX�g SQ FOOTAGE ��cG�O HEIGHT a� /��y/ <br /> � BUILDING $ ���' �7S`ov VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ �/�D� p� AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> �� � ��` <br /> 0 PLUMBING $ �� <br /> � ��j 2 �rt=5v <br /> � MECHANICAL �����d� VALUATION OF MECHANICAL INSTALLATION /J`�j �}OG � <br /> �` c��`� S'�` <br /> � GAS � ROOFING 0 SPECIALTY 0 OTHER �� U <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA DYES �NO ��,S' �� <br /> ..__.-. <br /> BUILDER Gt-�a � s2_e C� COMPANY � �-. �� �zU�T��T�d'LJ <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address �(PS/ 011� �✓ �' / y�(CL� �z ���- License# C/�-e��/�� <br /> ELECTRICIAN / � y ��� � ��C MPANY ��i�-T�� LZ�C%�/C <br /> SIGNATURE �,�C.s�- b�'� REGISTERED Y/ N FEE CURRENT N <br /> �►ddress 1�8�� /Di� �. �lq-,/� (�:� E--[, 3��a�, ucense# �C%3��/-�8� � <br /> PLUMBER ,, /l¢ COMPANY <br /> SIGNATURE ���/� REGISTERED Y! N FEE CURRENT Y!N <br /> Address License# <br /> MECHANICAL � COMPANY �J%41��-c� C�A-� ��C <br /> SIGNATURE Re�isTeReo Y/ N FEE CURRENT Y/N <br /> Address FI-�-�=U �o'S ��j�-µ1�2�[(�S l.icense# C�� C O Sl��'/'S�� <br /> OTHER ��/j'/ f /° � � OMPANY �'F�"✓/'�U ,Lr���'Cx' <br /> SIGNATURE ���i� G�� � �EGISTERED Y/ N FEE CURRENT Y/N <br /> Address �(�� 3 3 ,�1�� ;`"C License# /C.C ���p��/ <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. Repuired onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pe�mit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of 8uilding 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 submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Wo�k Permit for all new p�ojects.All corr�mercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '*'*PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over a5000) <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 /> Driveways-Not over Counter if on public roadways..needs ROW - -.•. ._......,.. .�,,,,� <br /> � . �,... ' . � <br /> � a <br /> . _ - ��;t�b� <br /> . � � �. ���. �� S-..,4, (�.�� <br /> w <br /> ..�. � �. /c. +, <br /> �:�:: ` ,",.�;`'��++��s`�`,� <br /> ._.....,.. ..�... :_-..,..,....,.w.....,..,i <br />