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a�saeo-oo20 - , - City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . ' , � Bullding Department <br /> Date Recelved '_ " � " ' � Ph�one'Contact for Permittin! �- ' �� :���-, ��� <br /> Owner's Name D� ��s12 � ,Owner P.hone.Number �l� �" < �� �d�3/ <br /> Owner's Address � �S v� �� l f �e�' Owner Phone Number - <br /> Fee Slmple Tltleholder,Name • � Owner Phone Numb"er <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS ��S6U [�L G ` l���" � � �G`"lJ� /— L- LOT# � <br /> SUBDIVISION l�.(�/'h''�D ��►"l z-i'iZ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e 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 Q _ � <br /> DESCRIPTION OF 1NORK f �U X o2 -�C�`°�'U/1 ('✓P't. �"r �� ��-V t' <br /> BUILDING SIZE !U'X 2�e � s SQ FOOTAGE ��o J� , , HEIGHT . T � <br /> -, . <br /> OBUILDING $ �/ ,9���v a , ,YALOATION'OF TOTAL CONSTRUCTION . <br /> f (/ <br /> DELECTRICAL � $ 3�O`a o AMP SERVICE 0� PROGRESS ENERGY� `Q W.R.E.C. <br /> QPLUIUIBING $ <br /> QMECHANICAL $, VALUATION OF MECHANICAL INSTALLATION ,b'SS� <br /> � <br /> QGAS Q ROOFING .Q SP.ECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � 2 �COMPANY � <br /> SIGNATURE J REGISTERED Y/ N FEE CURRE� Y/N o �S <br /> Address ����s ✓��-�• ✓�"✓z- z � �'� License# �C�,�° ���-� ' <br /> �1 �� I , <br /> ELECTRICIAN. �� U COM PANY f' a Vyl 'L Q I.J i'l-�^ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense#� � <br /> PLUMBER . �j/�-„ COMPANY <br /> SIGNATURE l REGISTERED. Y/ N - FEE CURREK', Y/;N <br /> Address >License# <br /> MECHANICAL �//�- � COMPANY s <br /> SIGNATURE l � � ' REGISTERED Y/ N . FEE CURRE�, Y/N� <br /> Address' • � � ' License#. <br /> OTHER " - COMPANY � <br /> SIGNATURE " � � REGISTERED Y/ N FEE CURRE� Y/N, <br /> Address . - � �. ^ - - � � '�'C'icense# � <br /> RE5IDENTIAL- Attach(2)^PIot,Plans;,(2):,sets�of�Building;Plans;(:1).sef of Energy�Forms;R-0=WPermit for new construction, � <br /> Minlmum ten,(,10)�working day_s�,after;submlttal,d"ate:,Required on§ite,._Constrtictiori`Plans;Stortnwater Plans w/S(It Fence installed, <br /> Sanitary FaoillUes•&;1:dumpster SIte;VUork�Permit<,for,;subdivislonsllarge projects ; �;_ ° <br /> COMMERCIAL Attach(3)complete�sets=of�Building-Plans plusa Llfe''Safety'Page;`(1)set of Energy Fomis.R-O-VV Permit for new constructfon. � <br /> Minlmum ten(10)working days'after submlttal date. Requlred onslte,Constructlon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilltles 8 1 dumpster.Site Work Pertnit for all new:projectsr-All,commercial requlrements must meet campliance <br /> 51GN PERMIT Attach�(2)sets of Engineered.Plans.,� . .. - � , . • <br /> "'"PROPERTY SURVEY required for�all NEW construction.� _ , _ <br /> .. _ -,� • � . <br /> - ....... _._.__ ... ..,_._ . ,_ <br /> )lrectlons: � : ' I <br /> Fill'.out application completely. <br /> Owner 8 Contractor slgn back of applfcaUon,notarized ' <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over�T500) <br /> " Agent(for the contractor)'or Power of-Attomey(forthe�owner.)'would be sortieone wiith notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITTING.,. _. .,(Front of ApplicaUon_Only). . ` <br /> �eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on publlc roadways':ne'eds ROW� � <br />