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\ <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780•0021 <br /> , � 8ullding Department � <br /> Date Received phone Contact for Permlftln ' J � — 1 �' � <br /> 9. r��] <br /> Owner's Nama � / Ownar Phone Number . �o J� 1 " �"b <br />� �� Qwner',sAddr'�s IU� ��Q�w OwnerPhoneNumber <br /> ,{�;'f�� liWlvNr 7 <br /> Fae Slmpla Tltlaholdar Nama Owner Phone Number I il <br /> Fea Slmple Tltleholdar Addresa <br /> JOB ADDRESS ���� � �. G�'`'�' V lti�l,.' S ✓JS � LOT#! � <br /> SUBDIVISION f��n�%�.�� PARCELIDM ��~�~��`��^'������� <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br />, WORK PROPOSED B N TALLSTR B REPAIR �Cb F � 0 DEMOLISH <br /> PROPOSED US E Q S F R COMM O T H E R <br /> � � <br /> TYPE OF CONSTRUCTION Q BLOCK �] FRAME L] STEEL Q <br /> DESCRIPTION OF WORK R�-Ir�v�¢���IdIL�� �'(Lbl��, I Yl�� ��,{,Qy� �QL.� ����� <br /> � t t�7a��a� <br /> BUILDINO SIZE SG FOOTAGE� HEIGHT � � 'r'� T—�I1`7(G�� <br /> � �/ � <br /> 6UILDINO $ ' Lv_t�y����� <br /> 0 � �v VALUATION OF TOTAL CONSTRUCTION .�T+''T�YJ� � <br /> QELECTRICAI. $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> c; 1��r <br /> i QPLUMBING $ ( � � � ^C <br /> � 1�D�� ,S ,t �L1��� o��s � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION �5 �`�� rL�, ✓ <br /> � � V <br />� QGAS ROOFING Q SPECIALN Q OTHER � S � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � y <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y/N <br /> Address Llcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REOISTERED Y/ N FEE CURFiE� Y/N <br /> Address Llcanse# <br /> PLUMBER COMPANY <br /> SIf3NATURE aeoisTEttEO Y! N FEECURREA Y/N <br /> �.qddress Llcense# <br /> 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REOISTERED Y/ N FEE CURREA Y/N <br /> Address Llcense# <br /> OTHER -'' COMPANY � C�YJ"�J11�+� <br /> SIONATURE RE01&TERED Y N FEECURRE� N <br /> Addresa � Llcense�S 1�� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attech(2)Plot Plans;(2)sets of Bullding Plane;(1)set of Energy Forms;R-0•W Permlt for new constructlon, <br /> Mlnimum ten(10)working days efter submlttai date. Requlred onsite,Construcllon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Fecllitles&1 dumpster;Slte Work Permlt for subdlvlslonsllarge proJects <br /> COMMERCIAL Attech(3)complete sets of Bullding Plana plus e Llfe Safety Page;(1)set of Energy Fortns.R•O-W Permlt(or new constructlon, <br /> Minlmum ten(10)working deys efter submlttel dete, Requlred onslte,Construcllon Plans,Stormweter Plans w/Sllt Fence installed, <br /> Senitary Facllities&1 dumpster,Slta Work Permlt for ell naw proJects.All commarcial requlramants must meet compllance <br /> SIGN PERMIT Attech(2)sats of Englneered Plana, <br /> "'•PROPERTY SURVEY raquired for all NEW conslructlon. <br /> Dlrections:• <br /> FIII out epplicatlon completely. <br /> Ovmer&Contrector sign bsck o1 eppllcatlon,notarized <br /> I(over 52600,a Notice of Commancement la requlred. (A!C upgradea over 57500) <br /> •' Agant(for the contractor)or Power of Aftomey(for the owner)would 6e somaone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (Fronl of Applicallon Oniy) <br /> Raroofe If ehinglea Sewers Sarvice Upgradea AIC Fances(PIoUSurvey/Footega) <br /> Drlveways-Not over Counter If on public roedways..needs ROW <br />