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r <br /> s�s-�8o-oozo City of Zephyrhills ermit Application Fax-813-780-0021 <br /> Building D artment <br /> Date Received i� J�� � _ phone Contact for P,e itting — <br /> {�nec +-�3"1 � I���I Yh�or, (�'�3>� <br /> Owner's Name. � � C �St�Qj1�'1�Y1C o F' p � Owner Phone Number Z— (���2 <br /> Ouvner'sAddress LC�J`f� ���� S� �<<,S r�-�3�`'� OwnerPhoneNumber <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Sirtr,ple Fitl�nolder Address <br /> JOBADDRESS ���� �r�� S� ;�ll, ��ItL{,S — 33sya LOT# �� <br /> suenivisioN, --- - -=- --J-- -� - =--eARCEL_ip�.:�3_-.2 6_�2_[_- d o o:_o_o_�_�:�t-I Z O—---�---- - -—�-- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT SIGN � Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONS'�RUCTIOM Q BLOCK Q ' FRAME STEEL Q � <br /> DESCRIPTION OF WORK l,��C r�IZ J'(�lu.� ��.W �I� - <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT . <br /> OBUILDING $ ��1� �O VALUATION OF T TAL CONSTRUCTION <br /> �.1J <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ , ��� <br /> � � J <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATIOM - <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> BUILDER �1p 1(1'l�r�p q COMPA Y l I�Y�Y.J�-Y T�..Y SC��� <br /> SIGNATURE \.�/V� � ���" REGISTER D Y/ N FEE CURRE� Y/iV <br /> Address L'icense# <br /> ELECTRICIAId COMPA Y <br /> SIGNATURE " REGisrER o Y/ N FEE CURRE� Y/'N <br /> Address License# <br /> PLUMBER COMPA Y ` <br /> SIGNAYURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address - License# <br /> MECHANICAL. , COMPA Y _ <br /> SIGMATURE REGISTER D' Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> OTHER COMPA Y <br /> SIGNATURE - REGISTER D Y/ N FEE CURRE� Y/N � <br /> Address � License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;.(1)set of En rgy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Requlre onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivi ionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building.Plans plus a Life Safety age;(1)set of Energy Forms..R-O-W Permit for new construcUon. <br /> Minimum ten(10)working days after submlttal date. Require onsite,�Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 constructlon. <br /> Dlrections: <br /> Fill out applicaUon completely. � <br /> Owner&Contractor sign back of application,notar(zed � <br /> If overa2500,a Notice of Commencement is requlred. (AIC upgrades' ver 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING �(Front of Application Only) � - ..=_. -- �--- - � °°--- -'�� -�" �`� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoU urvey/Footage) }�J t�'w-�� .N `��'� r • <br /> _ � , ,_. .. , ts ��: � <br /> Driveways-Not over Counter if on public roadways..needs ROW `� ��-•� ° � '��-,- - ' x <br /> ... ;_:�,._. , � .��._n.. ..a.. . ,.,,..�..,:._ . :..,•<:��. , <br />