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, ! <br /> s�3-7so-oa2o � City of Zephyrhills Permit Application , �aX-s�3-7ao-aaz� <br /> ' Building Department <br /> Date�Ceceived/ Phone Contact for Permitting -- <br /> � Owner's Name �j �v2Y'�l�R,_. �� Owner Phone Number <br /> Owner's Address 2 IV�C"5�� P�z , �j""�,` �d� Owner Phone Number� � <br /> � Fee Simpte Tiftehoider N m • Owner Phone Nurtiber� � <br /> Fee Simple Titleholder Address <br /> , .�o�a���ESS °�5�. $a �5�f hn�. 5{ . �.of# Z `�3 <br /> � at{ PARGEL iD# �� 2.�pr �•�• �7 b.2�j '6'O�bC► - t90a <br /> sus��vis�ot� �'�"�����. C � 1 " � � <br /> (08TA1NED FROM PRQPERiY TAX NOT[GE} <br /> WORK PROPOSED e NEW CONSTR e ADD/AI..T � SIGN Q MOVE Q DEMOLISH <br /> (NSTAl.L REPAIR <br /> ' PROPOSED USE Q SFR [� COMM Q OTHER <br /> TYPE OF CONSTRUCTtON [� BLOCK � FRRME � STEE� 0 QTHER <br /> DESCRIPTtC?N OF W4FtK ��-�`� ��Q� ��'1 t 2�� <br /> BU{LDlN�SIZE �_ � SQ FOQTAGE HEIGHT <br /> 0 BUILDING I$ W � VALUATIQN OF TQTAL CONSTRUCTlON <br /> � <br /> �'' ELECTRICAL $�, ��,� p� � AMP SERVICE � PROGRESS ENERGY C] W.R.E.C, <br /> � PLUMBING �$ � <br /> 0 MECHANICAL '$ VALUATION OF MECHANICAL INSTALLATION � � �� � <br /> �` <br /> 0 GAS � ROOFING � SPECIALTY Q OTHER <br /> FiNISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA �YES �NO <br /> BUILbER COMPANY <br /> S[GMATURE �2EGISTERED Y 1 N FEE CURRENT Y I N <br /> Address License# �— � <br /> ELECTRICIAN ? COMPANY ►�`4�r <�'.-.�.C�lU -�+� � <br /> StGNATURE REG1S7Et2EI3 Y I 3V FEE GURRENT Y I N <br /> Address .�. �1 u'� � � 'lj �j�.�p License# ��l�O C7(3"� � <br /> PLUMBER COMPANY <br /> SIGNATURE REGESTEREp Y/ N FEE CllRRENT Y i N <br /> Address License# � —� <br /> MECHANICAL CQMPANY <br /> SlGNATURE REGISTERED Y/ N FEE CURRENT Y!N <br /> Address License# � � <br /> OTHER COMPANY <br /> SlGNATUl2E REGlSTEREp Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(Z)sefs of Buifding Plans;(1)sef of Energy Forms;R-O-W Permit for new construcfion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed, <br />� Sanitary Fac9lities&1 dumpster;Site Work Permit for subdivisionsllarge prajecfs <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 aftec submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, _ <br /> Sanifary Facitities&1 dumpsfer.Site Work Permit for at(new projecfs.All comrnercial requirements must meef compliance <br />, SIGN PERMIT Attach(2)seks of Engineered Plans. <br /> ""'PROPERTY SURVEY required for a!I NEW conslruclion. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Canfractor sign back of appl3cafson,noEarized • <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$50p0) <br /> `" Agent{for the contractar)or Pawer of tCttomey(for the owner}wauld be sameone witl�no#arizec!letter fsom awner authoriz'sng same <br />� OVER THE COUNTER PERMITiING (Front of Applicakion Only) <br />� Reroofs Sewers Service Upgcades A!C Fences{P{otlSurveylFootage) <br /> Driveways-Nok over Caunter if on public roadways.:needs RQW <br /> L <br />