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���-��U-UU1U City of Zephyrhills Permit Application FaX-s�3-�er�-ooz� <br /> Building Department �` <br /> pate Received ���� Phone Contact for Permitting -- � <br />� Ouvner's R1ame ► cJ�l� � �-� L� Ovuner Phone fdumber g�,3 �5 5 Qd<,;� <br /> Ouvner's Address �°1 l3 l \ K � Owmer 6'hone Mtamber JV � 1 <br /> Eee Slmple Titleholder fdame � Ow�ner Phone tdumber � <br /> Fee Simple Titleholder Address r.. <br /> JO�A1�pRESS � \�3 �Z� ��. LOY� � <br /> suBOi�iseob �Z��1-�� ��. �{�IG-t��S PAIRCEL ID# �Z"L(�Z j o�3 fl Od�d�J O� O � _ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> FR�ORE(PitOPOSED e .NEW CoNSTR 8 ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEID U�E � SFR Q COMM � OTHER <br /> TVPE OF COIdSTRUCTlO(d Q BLOCK �,] FRAME 0 STEEL Q ��� <br /> DESCRIPTION OF WORK ���' ��'�J�/ � ��� � . � � ,�Q � �e� i�— <br /> / <br /> IBUILDIRIG SIZE SQ FOOTAGE �� S � FiEIGHT � _ <br /> ��ca�PL'l',Y- <br /> �BUILDING $ �, ,}��� VALUATION OF TOTAL CONSTRUCTION <br /> �/U <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.Ft.E.C. <br /> OPLUMBING $ �/ <br /> �1�� � <br /> � �v � ,,��,� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL IfVSTALlATl01� � :4PJL�� ���,�1,� <br /> I"`_ �,• 1 �G�-� <br /> OGAS Q ROOFING Q SPECIALTY [� OTHER —¢ � <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO C��� , l,�J "I <br /> BUILDER COi�IPkNY <br /> SIGtdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> 9lddress License# <br /> IELEC'6RICIAfd COAAPAiNY� <br /> SIGRIA'TURE REGISTERED Y/ N FEE CURREn Y/IV <br /> Address License# 1 <br /> PLUAABER GOMPAMY <br /> SIGfdA'TURE REGISTERED Y/ N FEE CURRE� Y/N <br /> dlddress License# <br /> MECEiAi�ICAL COMPAPlY <br /> SIGIdATIDRE REGISTERED Y/ N FEE CURRE� Y/fV <br /> � <br /> E►ddress � License# <br /> f ! <br /> OTHE6t � COAflPAfdY C.- ��! ��1 l�� � R � <br /> SIGfdATU REGISTERED Y/ IV FEE CURRE� Y/N <br /> alddre s � � e�� � �`16U� License# -iJ C.� �6 ' <br /> RESEDEtdT1AL Attach(2)Plot Plans;(2)sets of Bullding Plans;(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 Faclllt(es&1 dumpster;Site Work Permit for subdivislonsAarge projects <br /> COAARAERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new constniction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities�1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance <br /> SIGM PERIlAIT Attach(2)sets of Engineered Plans. <br /> ••"'PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of appl�caticm,notarized � <br /> 9f over�2500,a f�otice of Commencement Is required. (AIC upgrades over 57500) <br /> •" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> 01lER THE COUIdTEit PERMITTIMG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> I•�. Driveways-{Vot over Counter if on public roadways..needs ROW <br /> . . . , , . , . . _ :���.�`. . . . <br /> � r�. �. i , M1 . _ � . <br /> Y � � � � ' <br /> . , i� ' u ��0 , . <br /> �. " . , ' .S: ,'S. � , .. • <br /> `r'. •+��a� .l e �. 'l v • �.� �. t .. .. �1 l - � f Y o �. c , . nn a �t � ♦ � ' <br />