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.. . <br /> % ' e�a-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recefved 3i � J Phone Contact for Permittin ��3 �g J' — �cl ol(7 <br /> Owner's Name � /d/�� �T Owner Phone Number ,3,5 d-' 0�.5 7��0��-' <br /> Owner's Address �Q. x sas�-- Owner Phone Number <br /> Fee Simple Titleholder Name � /�/� Owner Phone Number <br /> Fee Simple TiUeholder Address V c7�' a�0�a�— Q� � " Q 5 ' <br /> JOB ADDRESS O J � � �+T L�� ��� <br /> i <br /> SUBDIVISION �� 1 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e N TALLSTR e REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK }C��- � � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ �i/�Q O VALUATIONOFTOTALCONSTRUCTION � �"' �� ` <br /> y ��-� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �`{'� � y��/11 A�jf�Q �Q�� <br /> � � ) �{ W u 1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `J n" <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER (� (J"� �" <br /> C��-�,G <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER �aS V COMPANY � � <br /> SI�NATURE REGISTERED Y/ N FEE RREA Y/N <br /> Address / � Z �/ License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE R[-�isr�zEO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTFRED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> I <br /> SIGNATURE REGISTFRm Y/ N �cuRttQ. Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnft for new cansVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWcUon Plans,Stortnwater Plans wl Silt Fence installed, <br /> Sanitary FaGlities 81 dumpster;Site Work Pertnit for subdivisfonsAarge projeds <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 canstrudion. <br /> Minimum ten(10)working days after submittal date. Required onsfle,Construction Plans,Stortnwaler Plans w!Silt Fence installed, <br /> Sanitary Facili6es&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet campliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> `•••PROPERTY SURVEY required for all NEW constiuction. i <br /> Dlrectlons:• <br /> Fill aut application completely. <br /> Owner 8 Contractor sign back of application,natarized <br /> ' If over SZ500,a Notice oi Commencement Is requlred. (A/C upgrades over 57500) <br /> •` Agent(for the contractor)or Power of Attomey(for the owner)woWd be someone with notarized letter from owner authorizing same <br /> OVER THE COUN7ER PERMITf1NG (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if an public roadways..needs ROW <br />