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` � 813-780-0020 City of Zephyrhills Permit Application F�����eo-0oz� <br /> Building DeparUnent <br /> Date Recefved Phone Contad for Permittin D l —S�lp ' <br /> Owner's Name 'I'C.��( {,..�.C.� Owner Phone Number � ��1 � I� <br /> Owners Address� a1 C� � Ownu Phone Number <br /> Fee Simple Titleholder Name N�'t Owner Phone Number <br /> Fee Simple Titieholder Address � <br /> JOB ADDRESS � � f lI � � LOT� � <br /> 3UBDIVISION PARCELID# � •� ' U ' V� � V(,.)�V�JV <br /> (OBTAINED FR061 PROPEHTYTA7f NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q� SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCitOtd Q BLOCK Q FRAME Q STEEL Q� <br /> DESCRIPTION OF WORK (,�,1 � <br /> BUILDING SIZE 1 1 x ' SQ FOOTAGE� HEIGNT <br /> �BUILDING $ . )� ^ VALUATION OF TOTAL CONSTRUCTION �(�'y�,�� <br /> ...1. <br /> �LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL y VALUATION OF MECHANICAL INSTALLATION %f� � / v�� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �e.� m�1 S � <br /> SIGNATURE �cis�Fo Y N �cuarte. /N <br /> Address License# � ��� <br /> ELECTRICIAN COMPANY W�AKA.� C <br /> StGNATURE rt�GiSiErt�o ! N �Cuwte. /N <br /> Address License# (.�W�Z V <br /> PLUMBER , COMPANY 4�( � I 1 y� <br /> SIGNATURE REclsr�m / N F�cuaaa /N <br /> Address License# � ,�S <br /> MECHANICAL COMPANY �S T� � <br /> SIGNATURE aecis�o Y N �curta�n /N <br /> Address License# � <br /> OTHER COMPANY <br /> SI6NATURE REGISTERm Y/ N �cuwtEn Y/N <br /> Address Licensa# <br /> Illlllllllllllllllllllllllllllllllllllllllllllllllltlllllllllliilll <br /> RESIDENTIAL Attach(2)Ptot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-0-W Permit for new canshuction, <br /> Minimum ten(10)working days after submiltal date. Required onsile,ConsWction Plans,Stormwater Plans w!SiR Fence instalted, <br /> Sanitary Facilities 81 dumpster,Site Wark Pertnit for subdivisionsllarge proJecLs <br /> COMMERCIAL Attach(2)complate sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new constructian. <br /> Minlmum ten(10)warlting days after subm'�t}al date. Required onslte,ConsUuctlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnft for all new pmjects.All commercial requiremertts must meet compfiance <br /> SIGN PERMIT Attach�(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW wnstrucdon. <br /> Diredions:• <br /> F81 out appfication completely. <br /> Owner$Contractor sign back of application,notaraed <br /> If over$2500,a Nodee of Commencement ts requtred. (AIC upgrades over 57500) <br /> " Agent(for ihe conUac[or)or Pourer of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7'T1NG (capy of conUact required) <br /> Reroofs tT shingies Sewers Servica Upgrades A/C Fences(PIot/Survey/Footege) <br />