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�nr��� Y�e�,� 'Cb Y�. �id ��-,V�. p�cIE2,� (�. <br /> - 813-780-0020 City of Zephyrhills Permit Applicati99 fl -I Fax-813-780-0a0'21�, <br /> • �� BuildingDepartment ��/�!, (/� ��}�+PI � � <br /> �,�<(, ����.s� <br /> Date Received Phone Contact for Permittin <br /> TTTTT , ` IT <br /> Ownar's Name � � r�., M�� Owner Phone Number �P�"��+�7 ,�2-� <br /> Owner's Address -�✓� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L.S�/✓J � � r �'`I`I S �� LOT q � <br /> SUBDIVISION PARCEL ID# �1���I�O��O^ '�D�vV�.QO <br /> � (OBTAINED FiiOM�PROPEHTY TAX NOTICE) <br /> WORK PROPOSED �NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I � ' C/� d•S� ��% ^ <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> TTr TTrTTrTTrTrTI"ITTTrTTrTTrTTrTTrTTr <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUGTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. , <br /> QPLUM8ING $ <br /> QMECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION i �S� <br /> � �l <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � + � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �-.��1.i-C��:-F:-Y-i-FF:i-�:-r.��F:-7��ITF7--�G��.+ i-:�F.i-:.-F�0-.7-F7-1-7-�FF�:..i-G.-F�F-FC�� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA� Y/N <br /> Address License N <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY v� �,�.�G r�1• <br /> SIGNATURE REGISTERED !X°�N FEE CURRE� Y/N <br /> Address �� License# `�'"f�� 1� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECUARE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllll <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum Sen(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construc[ion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction 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 /> "*"PROPER7Y SURVEY required for all NEW construction. <br /> ..�1.-F�1.-�I.�i-1-.{-{..�1-I..FI..Ia-1..1-1..1-FI..1-F.i..f-i-��I-�1.-FF4.�F-1-FI-.f-F-��4-FI--FFI-�' •....�.�1-.FF4-�4-F� <br /> Directions: <br /> Fill out application completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (q�C upgrades over$7500) <br /> " Agent(for the con[ractor)or Power of Attorney(for the owner)would be someone 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />