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V <br /> e�a-�eaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildin' Department <br /> Date Fteceived Phone Contact fo,r Permittln -- <br /> Owner's Name � ��,(3� -� ��j�-/y"/� Ov+rner Phone Mumber �L -� � ��� <br /> Obmer's Address �?��U ��-f,,C/"� i�BG� O�nrner Phone Number <br /> Fee Simple Titleholder Nam� Ovener Phone Number <br /> Fee Simple Titleholder Address � <br /> , <br /> � /_ / <br /> JOB e4DDRESS .����b L�-�e r� �/�/��J"7��° �R, �v//6 S LOT# �.� <br /> suBOidis�oN ��K CPARCE���# 3�" as' �/ dlOL� 0660 Ol�O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGM Q Q DEMOLISH � <br /> B INSTALL � R�PAIR� <br /> PROPOSED USE Q SFR Q .COMM 0 OTHER <br /> 7YPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIOfV OF WORK / 7G/�L�V e �- �-° �G�lr° � ��� �j'�° �L� o� C�'i� 'jU �S <br /> 3 �d� <br /> BUILDING 51ZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION I F TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVI � PROGRESS ENERGY W. .E.C. <br /> 0 Q Q R <br /> QPLUMBING $ � �� �f.C� <br /> J � / <br /> � <br /> dECHANICAL $���/o b� VALUATION F MECHANICAL INSTALLATION <br /> QGAS Q ROOFIMG Q SPECI TY 0 OTHER /J c <br /> FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO ��� ( �J <br /> BUILDER CO PANY <br /> SIGMATURE RE�ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN CO PAPfY <br /> SIGfdATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> PLUMBER CO PANY <br /> � SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> MECHANICAL c� �, I�,/� 1 C AAPAPIY �}"I�i��S r4'O L)/l��-'CS�lS��/C�V�, <br /> SIGRfATURE ����`���L RE�ISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# ��� �✓���a <br /> �THER C AAPANY <br /> SIGMATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL 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. equired onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for ubdivisions/large projects <br /> COIMMERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. F�equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •""PROPERTY SURVEY required for ali NEW cons ction. <br /> Directlons: - <br /> Fill out appitcation completely. <br /> Owmer&Contractor sign back of application,notarized <br /> If over 5�500,a Notice of Commencement is required. (A1C upg ades over�7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would e someone with notarized letter from owner authorizing same <br /> O!/ER THE COUNTER PERMITTIfdG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fence (PfoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br />