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813-7�� City of Zephyrhills Permit Application Fax-813780-0021 <br /> . Building DepartmeM <br /> �R.�„� � 2 3-l �.��,,���.�,�, <br /> , Owners Name �1�C ,A/6 Owner Phone Number <br /> Ownefs Address {,�,W� I Y d ��i �3� 6 pMmer Phone Number <br /> Fee Simple Titleholder Name �/'7���l. Owner Phone Number <br /> Fee Simple litleholdx Address <br /> JOB ADDRESS �� / /�' � �e LOT�i � <br /> SUBDIVISION �l/� SQ U PARCEL IDS <br /> (OBTNNED FROM VROPERTY TA7f N0710E) <br /> WORK PROPOSED e NEw CoNSfR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPfUR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPiION OF WORK l� VM a Y17Pi� O ��� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � i� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION � <br /> U �6 0 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ��� <br /> ��� <br /> QPLUMBING E � �� 5 C� � <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � `` U����p� <br /> v (.A }r <br /> Q G A S Q R O O F I N G Q S P E C I A L T Y Q O T H E R � S�� f�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO v fT1 `+ <br /> BU�LDER �A// _� ` COMPANY � �/I(GJ � <br /> SIGNATURE ���/i(ili r�Gis�rx�o Y/ N rg cuw�n Y/N <br /> ,�dre$$ ti .P�P 6s�r �,��# aSbo <br /> ELECTRICIAN � ���� � COMPANY B £�G7�Z LG� <br /> SIGNATURE REGiS7EaED Y/ N �cuar�n Y/N <br /> ,�d� 7a� aa�� ��,�: i3 i 6�3 <br /> PlUM6ER ����/��` �,�COMPANY VGY'�'�/ ��`�- �r--K. <br /> SIGNATURE •V!V� �cisTEReo Y/ N �cur�n Y/N <br /> ,�d►�S. 3S e ,�. �P ���,�: �CF�/y��i�f S� <br /> MECHANICAL ,9�_ � ,/ OMPAN1f �N l 1/I�� � C W`" - <br /> 31GNATURE �C7`� ���~—•- r�crs�rs� Y/N �cuqr�n Y!N <br /> aoare� 3 0 P �f2 3t�6s �,�s C�A�C / / D S <br /> �THER /,///. /// _• , COMPANY CD✓�/Nr1�/l //�7/(eS L�C <br /> SIGNATURE I/V�WV VL� REGI3TERED Y/ N �cuwt�n Y/N <br /> �d�� �03.� ,�� ti .� . . ��,�. ccc/3 a y� 87 1 <br /> � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construdion, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,ConsVUCtion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanifary Faalitles 8 1 dumpster,Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safely Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Stortnwaler Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWCtion. <br /> Directions: <br /> Fill oul applicalion completey. <br /> Owner&ConuaUOr sign bedc of apqication.notarized <br /> If over i2500.a Notice M Commencement is required. (A/C upgrades over='7500) <br /> " Apent(for the cantractor)or Power of AtOOrt�ey(for the owner)would be someaie with notarized lelter from owner authoriang s�ne � <br /> OVER THE COUNTER PERMITTING (FroM of Applicatlon Ony) <br /> Reroofs'rf shingles Sewers Service Upprades A/C Ferroes(PbtlSurvey/FOOtage) <br /> D�fveways-Not over Counter'rf on public roadways..needs ROW <br />