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s�a-�ao-oo2a � City of Zephyrhills Permit Applicatian , FaX-8�s-7so-oazl <br /> ' Building Department <br /> Date Received � Phone Contact for Permitting -- <br /> Owner's Name �1 . �,,,_,_ Owner Phone Number <br /> . ti�4.,C�i z. �e � <br /> Owner's Address ' Owner Phone Number� � <br /> Fee Simple Titleholder Name Owner P4one Nurriber� � <br /> Fee Simple Titteholder Address <br /> JOB ADDRESS ��+�.l Q�, �� ���# ��� <br /> su�o�v�s�oN ������a�`�fOrltt? D"afi`W pA�zc��.i�� I�.-2,(�-2.� -402� �ba5oo� flt�oc� <br /> (OBTAINED FRdM PROPERTY TAX NOTiCE) <br /> WORK P3tOFOSED e NEW CONSTR e ADD/AI.T � SIGN Q MOVE 0 DEMOLISH. <br /> INSTALI. REPAIR <br /> PROPOSED USE 0 SFR [�- COMM 0 OTHER <br /> TYPE OF CONSTRUCTiON � Bt,OCK � FRAME � STEEL � CiTHER <br /> DESCRtPT10N OF WORK 1�.� j�ts2._ � r CR.} <br /> BUI�DING SIZE 5G2 FOOTAGE� � HEfGNT �� � <br /> 0 BUlLDING � � VAI.UATIQN OF Tt7TAL GtJNSTRUCTiON <br /> � ELECTRICAL $ � '�b�rp � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING � � ��� <br /> 0 MECHANICAL $ VAI..UATION OF MECHANICAL INSTALLATION ''� l � <br /> � GAS � ROOFING � SPECIALTY � OTHER <br /> F)N3SHED FLOOR ELEVAT30NS � � FLOOD ZONE AREA �YES ONt} <br /> BUILDER COMPANY <br /> SI�NATUR� �2EGiSTERED Y 1 N FEE GURRENF Y I N <br /> Address License# �� � <br /> � .� �--� <br /> ELECTRICIAN COMPANY Q h „�.G.._, <br /> SICxNAT[1RE REGISTERED Y I (V FEE CtJRRENT Y 1 N <br /> Address , �. � , 3� License# �C-�a� ��JU�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREp Y 1 IV FEE GURRENF Y/�I <br /> Address License# �� —� <br /> MECHANICAL CQMPANY <br /> S[GNAiURE REGtSTERED Y 1 N FEE CURRENT Y i!d <br /> Address License# �— �� <br /> OTHER COMPANY <br /> SlGNATURE ttE�lsTeREO Y! N FEE CURRENT Y/N <br /> Address License# � � <br /> RESIpENTIAL Attach(2)Plat Plans;(2)sets of euilding Plans;(1)set of�nergy Forms;F2-O-W Permit for new construcfion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 durnpsEer,Site Work Permit for subdivisionstlarge prajects <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. Required onsite,Gonstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sa�itary Facitiffes=&`1�durnpsfer.-Site Work-Permit_for_all.new projecfs_R(1 commeraiai requirements must meef compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. _ ___ <br /> "'*FRQPERTY SURVEY required for a!!NEW construction. � <br /> Directions: <br /> Fi{)out application completely. <br /> Owner&Contractor sign back af apptication,notarized • <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5Q00) <br /> ''* Agent(for the cs�ntracfor)or Pawer of Attomey(far the owner)wouid be someone wifh notar�zed tefter fram owner authorizing same <br /> OVER TH�COUNTER PERMITTING (Front of Application Only) <br />, Reraafs Sewers Serv�ce.Upgrades AtC Fences{PiotJSutveylFoatage} <br /> priveways-Nok over Counter if on public roadways.:needs FtOW <br />