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813-�aa-oa2o Gity af Zephyrhills Permit AppGcation Fax-813-780-ao2� <br /> �, '� Buildi�g Department <br /> Date Recelved Phone Contact for Parmitt(ng �r � �� — ��l� <br /> Owner`s Name �f�/?71Y)!.(iJ����" ��TtON�,f Owner Phone Number O��"" ���"°o/ra�� <br /> Owner's Address � � C.�'•¢/��JLld � I�lS 4wner Phane Number � � <br /> Fee Simpie Titlehoider Name r� � Owner Phane Number �� � <br /> Fee Sirnpie Tltiehoider Address <br /> / �^y /" . <br /> JOB ADDRESS (p �W t.` ` �C� . �e � � /�-LS LOT# r� <br /> suaoivisiaN �� � PARCEL ID# D�-�` �/- l�/� -L�'D !�D -G�D�'L� <br /> (OSTAiNEd FRQM PROPERTY TAX NOSICE} <br /> WORK PROPOSEI� , e NEW CQNSTR�ADD/AI.T Q SIGN C] [� DEMQLISH <br /> tNSTAL4. REPAIR <br /> PRQPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF Ct}NSTRUCTION Q BLOC4C [� FRAME � STEEL Q <br /> DE$CRIPTION OF WORK t°� t2VG. +�'� G� I�E �lc,� T�� /? �% "` o�+ CD�Yi 2!l/ <br /> BUILDING SI2E � � SQ FOOTAGE C� HEIGHT �� <br /> QBUILDING � � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R,E.C. <br /> QPLUMBING ��� <br /> [�MECHANICAL $ VALUATIQN OF MECHANICAL INSTALLATION <br /> yo���o <br /> QGAS [�] ROOFING Q SPEC{ALTY � OTNER <br /> FtN4SHEQ PLOOR ELEVATtO1VS �� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SlGNATURE REGISTERED Y/ N FEff CURRE� Y/N <br /> Address License# I � <br /> E4ECTRICIAN COMPANY <br /> S{GNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Addre�s License# I � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL �J�� COMPANY �JA-/r�K S /'�1 AI�I`�' �`�'�' �-1'���� <br /> SIGNATURE ��� �� ' �`"�'"Q� REGISTERED Y/ N FEE CuwtEn Y/N <br /> Address 7�"zj �<C°� . „�Jti�.cs /=1• License# �L-.��-� -13 �'''�� <br /> 07HER COMPANY <br /> SIGNATURE REGISTEFtED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Flat Plans;(2)sets of Building Pians;(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,Stormwater Plans w/Silt Fence install�cl, <br /> Sanitary FaclliUes 8�1 dumpster,Site Work Permit for subdivislonsAarge proJects <br /> CQMMERCIAL Attach(3)campiete sets of Building Plans ptus a Life Safety Page;(1}set of Energy Forms.R-O-W Permtt for new cans#�vction. <br /> Minimum ten(10)working days after submitlal date. Required onsite,ConsWcBon Plans,Stormwater Plans w/Silt Fenca installed, <br /> Sanita�r Faciti8es 8�1 dumpster.Site Work Permlt far aii new prajects.Ali commerciai requlrements must meet compttance <br /> SIGN PERMIT Attach(2)sets of Engfneered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW constructlon. <br /> Directlons: <br /> FIII out application completely. <br /> 4wner&Contractor stgn back of applicaUon,notarized <br /> If aver�25Q0,a Natice of Commencemenk is requlred. (A!C upgrades over�7500) <br /> " Agent(for the contr�actor}or Power af Attomey..(for the owneP}`would be someone with notarized letter from owner authorizing same <br /> dVER TME COUNTER PERMITTING (Front of Application Only);s <br /> Reroofs If shingles Sewers � ;:: `Service UQgrades AIC� Fences(PIoUSurvey/Footage) <br /> DrNeways-Not over Counter if on public roadways..needs ROW <br />