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� ,813-780-0020 City of Zephyrhills Permit Application F�$i�-�eo-oo2� <br /> Building Departrnent <br /> Date Recelved Phone Contact for Pertnittln — "1"�� <br /> Owners Name �C�.Y1GJ S�' bV"�( �Q{'1Z'L' Owner Phone Numher <br /> Owner's Address �$���c P—� /�'�� Owner Phona Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOBADDRESS —1 L��� ��V�''� LOT� L C7� <br /> SUBDMSION PARCEL ID# (��'�"� �` —"UO�C--b��'C,C�U la- � <br /> (OBTAINm FRON PROPER7Y TAX N071C� <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN O 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 WORK �� � �-C�--� v <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $����. VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ,' �I <br /> � �L�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 <br /> � r <br /> QGAS Q ROOFING � SPECIALTY Q OTHER ^ /�, 1.., � <br /> e. / ,\� 1Y <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� <br /> BUILDER COMPANY � ' ` �� �-�_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> I Address �$ —i 1" r�Y�� r � License# C��C c , � l�j <br /> ELECTRICIAN COMPANY <br /> SIGNATURE r�cis�r�o Y/ N r'�e cuw� Y/N <br /> Address L(cense# <br /> PIUMBER COdIPANY <br /> SIGNATURE REGISTERED Y/N FeE cuR� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGisiErtEo Y/ N �cuar�ra Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE rtECIS7FReo Y/ N �cUtu�N Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllll <br /> RESIDENiIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set ai Energy Fortns;R-O-W Permit far new construction, <br /> Minimum ten(10)vrorking days after submittal date. Requlred onsite,ConstrucUon Plans,Stortnwater.Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster;Site Work Permit far subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum fen('10)warking days after submiHal date. Required onsite,Construc6on Plans,Stortnwater Plans w/Siit Fence irutalled, <br /> Sanitary FaciliUes 81 dumpster.Site Work PertnR for all new projects.M commerciat requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required fir all NEW construction. <br /> Direetions:• i <br /> Fill aut application completely. <br /> Owner&ContraUor sign 6ack ot application,notarized <br /> H over;2500,a Notice of Commencement is required. (A/C upgrades over 57500) � <br /> " Agent(for the confrador)or Power of Attomey(for the owner)would be someone with notarized letter finm owner authorizing same <br /> OVER THE COUNTER PERM11l1NG (copy of contract required) � <br /> Reroofs i(shingies Sewers Service Upgredes NC Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on pubiic roadways.,needs ROW <br />