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�-� _-� s�saeaoozo City of Zephyrhills Permit Application / Fax-813-780-0021 <br /> Building DepaAment �f�+ /�� <br /> 1 <br /> Date Received 2 1 g ?� Phone Contact for Permittin �L� / `� -- ��� <br /> Owner's Name O�� � � �'� Owner Phone Number 7� ` �`� �1 v <br /> Owner's Address ��� ����'1� l�li �� Owne�Phone Number <br /> Fee Slmple Tltleholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS �Z'v !� LOT# � <br /> SUBDIVISION PARCEL ID# V �2G �-� 6G/d /12 a o ��1 ( � <br /> (OBTPJNED FROM P OPERTY TAX NOTICE� <br /> WORK PROPOSED B NEW CONS7R e ADD/ALT � SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FR.4ME � STEEL 0 <br /> DESCRIPTION OF WORK ��� , � C��" V►'l,6 i v� �✓ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> BUILDING $� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ��4-�� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ^� <br /> � y,'�b� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �" <br /> '�J � b7� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �J/I <br /> ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> S G'NATURE V �"� R�ns7E�a� Y/ N ��E U�� Y/N <br /> Address � .5 3�/� �.� � (� License# �6C�Dl�l�j � <br /> ELECTRICIAN // <br /> "COMPANY ��C��j ��� <br /> SIGNATURE V � REGISTERED / N FEE CURRE� Y/N <br /> Address ���� (J.�..Y��^� .L�.v�' � �.���%' License# '�sU(.� tJ g <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REClsrerteo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illllllllllllllllllllllllltllllltlllltltlllltltllllllllllllllttllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuction, <br />� Minimum ten(10)working days after submittel date. Required onsite,Construction Plans,Stormwaler Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facitities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for ail NEW construction. <br /> Directfons:• <br /> Fill out application completely. <br /> Owner&Contractor sign back ai application,notarized <br /> If over$2500,a Notice of Commencement Is requlred. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Ariomey(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 />