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-� <br /> � <br /> ' ' e���so-oozo City of Zephyrhills ermit Application Fax-e�a-�eaaoz� <br /> ' ' Building D partrnent <br /> Date Received Phone Contact for P itting Z 1 - /��� <br /> Owners Name 1����IL � A' Owner Phone Number '7 Z7' 2�Q- ��O G7 <br /> Owners Address 0 S• r �� d!I S 0.� P/L= �L Owner Phone Numher <br /> Fee Simple TiUeholder Name �d'/37 C Owner Phone Number <br /> Fee Slmple TiGeholderAddress <br /> JOBADDRESS LIZG� G�LL /JL�G ZEPH /I /I�S FL ��5�-17- LOT# � <br /> i SUBDIVISION �1�f��S �oloN �-o1h �Iw NDS'pARCEL I �,��Z�s" z j- 00/O- � �00 ' �'�D J Q <br /> (08TAINED FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED B NEW CoNSiR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK EI o OG CG 6YLU N U/��. R i vb' <br /> BUILDING SIZE �i d� � � SQ FOOTAGE ��� HEIGHT N� <br /> �BUI G $ Q a Sr� VALUA N OF OTAL CONSTRUCTION <br /> l <br /> i QELEC $ AMP SERVICE Q PROGRESS ENERGY Q W.R�C. <br />' OPLUMBING $ ��S <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION �1' �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER COMP NY <br /> SIGNATURE �cis o Y/ N F�cuw�n Y/N <br /> Address License� <br /> ELECTRICIAN COMP <br /> SIGNATURE REGIS D Y/ N �cuRREn Y/N <br /> Address License# <br /> PLUMBER COMP <br /> SIGNATURE REGIS RED Y/ N FEE CuRrtEn Y/N <br /> Address License# <br /> MECHANICAL COMP <br /> I SIGNATURE REGIS RED Y/ N F�cuwtEn Y/N <br /> Address License� <br /> OTHER COMP �ay+}yt�O !C'���cX1Bt fl:.x/�L- Q�10(�/� Q <br /> SIGNATURE r�Gls r�o Y/ N F�cuw�n Y/N <br /> Address �07��G�/olsco�ST CLcvTrt �'� 3 3��' License# ' D�' �f�o <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)woriting days after submittal date. Requ d onsite,ConsWCtion Plans,Stortrnvater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes 8 1 dumpster,Site Wark Pertnit for sub visions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Fartns.R-O-W Pertnit for new construcdon. <br /> Minimum ten(10)working days after submittal date. Requ ed onsite,Construction Plans,Stortnwater Plans w!Silt Fence fnsfalled, <br /> Sanitary Faalities&1 dumpster.Site Work Permit for all n w projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW conswctio . <br /> Directions: <br /> Fill out applicaUon completely. <br /> Owner&ConUactor sign back of application,notarized <br />� If over Sz500,a Notlee of Commeneement is required. (A/C upgrad over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITf1NG (Front of Application Onry) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI USurvey/Footage) <br /> Driveways-Not over Counter iF on public roadways..needs ROW <br />�; i <br />