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s�s-7sa- 2a ' Gity of Zephyrhills Permit Application , Fax-s�s-7s°-°°2� <br /> � Building Departmenk <br /> r <br /> Date Received , Phane Contact for Permitting -- <br /> Owner's Name ��� • �-'�"�' Owner Phone Number <br /> ivex�t .� , o � <br /> Owner's Address Owner Phone Number�� <br /> Fee Simple Titleholder t3ame Ownec Phane Number� � <br /> Fee Simple Titleholder Address <br /> JOB AD�RESS. 5�C7 �.y� (`' � -rj (p � t'. LQT# �� 1 �� <br /> sua�IV�sioN i �r PARGE�!D# �� 2-�' �� ' �'62$ - b b 5�,�- 000 0 <br /> (OBTAINED FROM PROPERTY TAX NOFICE} <br /> WORK PROI'QSED e NEW CqNSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH, <br /> lNSTALL. REPAti2 <br /> PROPOSED USE � SFR � COMM 0 OTHER <br /> TtP�OF GONSTRUCTION 0 BLOCK � FRAME Q STEEI. Q C}THER{�! ^� <br /> DESCRtPT10N OF WORK L�C�.. � � n2.� <br /> BUiL,DtElG SiZE ���] SQ FOOTAGE�^� HEIGNT ��� <br /> � BUILDING � � VAI.UATiON OF TOTAL GONSTRUCTION <br /> "� ELECTRICAL �i2bCJ � � AMP SERVICE � PRQGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING � � ��(,� � <br /> `��� � <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS � ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOQR ELEVAT20tUS � � FLOOD ZONE AREA �YES �iVC3 <br /> BUILDER COMPANY <br /> SIGNAiUR� R�GISTERED Y I N FEE GClftFZEN7 Y I N <br /> Addres.s License# � � <br /> ELEGTRICIAN COMPANY ►"""►ar'�1� C�IsL.Cr .lC.� � <br /> SIGNATURE REGISTEi2ED Y J N FEE GURREN7 Y I N ' <br /> Address � ��`� y''� a �„, 3�� �icense# �C.�3 b O �'�53� <br /> .. <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y i PI FEE CURRENT Y/(U <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATUF2E REGISTEREI7 Y! N FEECtlf2RENT Y!N <br /> Address License# � � <br /> OTHER COMPANY <br /> SlGNATUI2E REGISTEREp Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> � <br /> RESIpENTIAL 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for su6divisionsJlarge projects <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 after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fac9lities&1 dumpsfer.Site Work Permit for aii new projects.All camrnercia!requiremen#s musf ineet camptiance <br /> SIGN PERMIT Attach(2)se#s of Engineered Plans. - <br /> '*'*PRQPERTY SURVEY required for al!NEW canstruction. <br /> Directions: <br /> FiU out appfication compistely. <br /> 4wner&Confractor sign back of application,natarized <br /> If over$2500,a Notice of Commenaement is required. (A!C upgrades over$5000) <br /> *� Agent{for the contractor}or Power af tCttorney{for the owner}would be sameone wifh notarized tetfer from owner autharixing same <br /> OVER TH�COUNTER PERMITTING (Front of Application Only) <br />� Reroafs Sewers Service.Upgrades Fl!C Fences{PIoUSurveylFootage) <br /> Driveways-No#over Counter if on public roadways..needs ROW <br />