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a�saao-aoza City of Zephyrhills Permi#Application Fax-813-780-OQ21 <br /> Building Department <br /> L � ' <br /> Date Received phone�Contact for Pe ittin <br /> � . � <br /> Owner`s Name ,l �t �+ '�1'} .� � � fl� � � a"'•� Qwner Phone Number _,,,_ <br /> Qwner's Addrass Owner Phone Number �— � <br /> Fee Simpie Tiklehaider Name ���� � Qwner Phone Number � � <br /> Fee S(mpla Tltleholder Address <br /> JOB ADDRESS � � � Ct��� I �� LQY# � <br /> SUBalvlsiON � � PARCEIID# <br /> � (OBTAfNED PROM PROPERTY TAX NOTlCE} <br /> WORK PROPOSED NEw GON57R ADQ/ALT [� SIGN Q Q REMQUSh! <br /> � e INSTALL 8 REPAIR <br /> PROPOSEp USE Q SFR Q CQMM I,[� OTMER <br /> TYPE OF GONSTRUCTION Q BLOCK R [� FRAME �� STEEL �] <br /> DE5CRtPTiON OF Wt}RK �� 7 � ��� f , � �11-�� -lY� ���- t <br /> BUILDlNG StZE � � SQ FOOTAGE�� HEIfiHT C�4-_� <br /> QBUILDING � � VA�UA710N OF TOTAI CONSTRi1CT10N �r <br /> „,_„ _` f!�� K..�.... <br /> �ELECTRICAL $ �? � Gl� AMP SERVICE / �,;� Q PROGRESS En�RGY Q W.R.E.G. <br /> � 1 <br /> QPLUMBING ($�� <br /> �..� <br /> OMECHANICAL $ VALUATION 4F M CHANICAL INSTALLATION <br /> C�.��; <br /> QGAS Q RtJOFING Q SPECIAL'lY OTHER <br /> FtN�SHED FLQOR ELEVATIONS �_ i� FLOOD ZONE)AREA QYES NO <br /> BUILDER COMP <br /> SIGNATURE REGISTE o Y/ N FEE CURRE� Y/N <br /> Address L,icense# � � <br /> � t ., � ) '.�C,t, <br /> ELECTRICIAN r�-� r , !l�� COMP �`ZC/1/ �:, -�- , � <br /> StGNATURE �� C,.�J- ' REGISTER D Y/ N FEE CURRE� /N <br /> Addres� � C' � � G'v ��l � ' t.�cense# L= � �/Z--��� �� <br /> PLUM9ER � � COMP <br /> StGNATURE 1 REGISTER D Y/ N FEE CURRE� Y/N <br /> Address L[cense# � � <br /> MECHANICAL COMP <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address lrcense# � �� <br /> OTHER COMPAN <br /> SlGNATURE REGISTE o Y! N FEE CURRE� Y/N <br /> ._.._..—... „ <br /> Address Ucense# � � <br /> RESiDEN'17AL Attach(2)Plot Rlans;(2)sets of Buliding Plans;(1)set of Ene��9Y Forms;R-O-W Permit far new construc6on, <br /> Minimum.ten{10}warking days after submittal date. F2equired onsite,Constructian Pians,Stormwate�Piens w/Silt Fence instailed, <br /> Santtary Facili8es&1.dumpster S{te Work:Pertnit for subdivistonsflarge projects _ <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safely P�age;(1)set of Energy Fortns.R-O-W Permit for new constructlon. <br /> Minimum ten j10)working days after submittaf date. Requirec�onsite,Constructlan Plans,Stormwater P�ans w/Silt Fence instailed, <br /> Sanitary Factl9Ues&1 dumpster.Sfte Work Permit for a!i�ew roJects.Ait commerciat requlrements must rtteet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered plans. <br /> '•'"PROPERTY SURIJEY required for ali NEW construction. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owrser&Contractnr stgn back of application,natarized <br /> If cver 52500,a Notice oE Commeacement is required. (A!C upgrades ver�75U0) <br /> " Agent(for the contsactor)ar Pawer of Attomey(for the owner)wauld be som one with notartzed letter from owner authorizing same <br /> UYER THE CdUNTER PEE2Ml'RING (Front af Appltcation Onfy} <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/ urvey/Footage) <br /> Driveways-Nat over Counter if on publfc roadways..i�eeds ROW <br />