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. <br /> _._..---� - <br /> -------- - ------ -- -- --- --- - - -- �-- -----_-- -- --- <br /> i <br /> i <br /> � �� ' 813-780-0020 City of Zephyrhills Permit Application Fax-s��-iso-0o2� <br /> Building Departmern <br /> Date Received '�r phone Contact for PertnitUn ��� �U o�- — � <br /> Owners Name J�mt�s ��aY1(� ���/Z/� p�l Owner Phone Number /v' a—(97�� <br /> Owners Addresa .�7�a� C7/�� /7(,� Qwner Phone Number <br /> Fee Simple Titleholder Name OWner Phone Number <br /> Fee Simple TltleholderAddress <br /> JOB ADDRESS J�� ��II��"(�Fi L0T 8 �7� <br /> SUBDNISION /Zr��c/i D!'Ll PARCEL IDM 3 ��S al-D l S��-DOODD� I�/D <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTIOH OF WORK �lJ l RU W � ""`^'`�'� <br /> BUILDING SIT� S�FOOTAGE� HEIGHT � <br /> BUILDING s D�b`� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. / <br /> QPLUMBING $ (���, ��"� C/ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �t <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ( v/ �" � f r �� <br /> `/ a I b <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO L'� <br /> �r <br /> BUILDER •�OMPANY' • �r, • •/ • _ r�/• <br /> SIGNATURE ( REGISTERED Y/N FEE CURRE� Y/N <br /> Address yoa B�'K�11./U tJCense# (i[/ 7��Jo� <br /> ELECTWCIAN COMPANY <br /> SIGNATURE RE615TERED Y/N FEECURRE� Y7N <br /> Address lJcense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas lJcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY ' <br /> SIGNATURE REGISTERED Y/N FEE CURRE� Y/N <br /> Addreas IJcense# <br /> 1111111111111111�1111'lllllllllllllllllllllllllllilllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1 j set of Energy Forms;R-0-W Permft fw new conslruction, <br /> Min'unum len(10)working days efter submittal date. Requfred onsite,ConsVuctian Plans,Stortnwater Plans w!Sflt Fence fnstalled, <br /> Sanitery Facilities 6 1 dumpster,Site Work Pertnft for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets oF Building Plans plus a Life Sefety Page;(1)set of Energy Fortns.R-0-W Pertnit for new construdfon. <br /> Minfmum len(10)workfng days afler submittal date. Required onsfte,ConsWCtion Plans.Stortnwater Plans w/Silt Fence installed, <br /> SanNery Facilities 81 dumpster.Site Work PertnN for all new projecLs.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets oi Engineered Plans. <br /> i ""PROPERTY SURVEY required for all NEW consVudion. <br /> Directiore:• <br /> Fill out application completeiy. <br /> Owner 8 Cantrador sign back of application,noterized <br /> If over 52500,a Nodee of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(for the conUecto�f o�Powe�'of Attoiney'(tbr'theYmmer)would,be someone with notarized letter fram,ovmer authorir�ng same <br /> . �,. - <br /> OVER THE COUNTER PERMITfiNG,. � (FronCof'ApplicaUOn•Onty).. F ; � ~ : <br /> Reroofs if shingles'; Sewers ; Service Upgrades'A%C .-:'•Fences(PIoUSurvey/Footage) ; -�- �, <br /> �.. _ . .b _�.•��.� ,. . ! .. - � i � <br /> Ddveways-Not o4er Gounter•i6 on:public roadways..needs.ROYV.� i _ `�'�� � • � � - , . ' <br /> ,. �._.,:o.>..n.,w. ,�,,.,. < .:...._.....-,,,r.,..0 c ,. , ' <br />