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813-7so-oozo City of Zephyrhills Permit Application �� l � Fax-813-780.0021 <br /> Bullding Department _ <br /> � Y � <br /> � <br /> Date Recsived phprte CoM�act•for Permtttln { — C� <br /> Owner•s Nams J���1'�1V �E-'�l�"� Qwner Pho»e Flumber O �7 <br /> Owner's Address �G�S (�� = Owner Phone Nuri�ber � � <br /> Fee Slmple Titleholder Name � � Owner Phone Number � � <br /> Fee Simple Titleholder Addres� <br /> JOB ADDRESS ��� ��F LOT# [__� <br /> 3UBDIVISiON �� � PARCEL ID# <br /> (06TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRBPOSED NEW CONSTR ' ADDlALT Q SIGN� Q Q DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED_1JSE , Q $FR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK R Q FFtAME C] � STEEL Q <br /> pE3CFtIPTION OF WQRK /"T I� (.,.1'�U. (�.,,,� �` � <br /> BUILDMNG SiZE � � SQ FOOTAGE C�� MEIGHT ��� <br /> QBUt�DiNG �6 � VALUATION OF TOTAI.CONSTRUCTION _ <br /> [�EIECTRiCAI. � � AMP SERViCE Q PR4GRES5 ENERGY Q W.R.E.C. <br /> �PLUMBlNG �"� <br /> L � � 3� � <br /> �ECNANICAI $ ���Q VAItlATfON QF NiECl�{ANICAI.�(VSTAILAztON <br /> QGAS Q ROOFiNG Q SPECIALTY � OTHEFt <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> ELEGTRtC1AN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � I <br /> PIUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUFtRE� Y/N <br /> Address License# � � <br /> MECHANtC�tt. �,,,� ,_S� COMPANY �'t� �� � — C •J�-��C3 <br /> SIGNATURE �f^���� REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address � License# C./�C._.( �''( �j��f_�� <br /> OTHER COMPAt+1Y <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N ' <br /> Address � License# �� � <br /> _ . RESIDENTIAL Attach{2};Ptat Plans;{2)sats of�Building'Plans;{1)set af Energy Forms;R-O-V1t Permit far new construa#ion, <br /> , Minimum,ten�(1.0)working.days after..submittel date. Requlred onslte,Construc�an Plans;Stormwater Plans w/Silt Fence(nstailed, <br /> Sanitacy FacifiBes&1;dumpstervStte Work Permit for subdivislonsAarge proJects - <br /> ' Gd►i�lMERCIAL Attach(3}compiefe sets of Bullciing�Plans plus a I.ife Safety Page;(1}se#af Energy Forms.ft-Q-W Permit far new canstruLttan. <br /> � Minimum ten(10)working days'after submittal date. Required onsite,CanstrucUon Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faciii8es&4 dumpster.5ite Wo,rk Permtt far ail new projects:Ri)commercia!requfrements must mesL compliat►ce <br /> S16N PER�VIfiT Attach{2)sets of Engineered Plans. , <br /> ""'PROPERTY SURVEY reguired for ail NEW canstructlon. <br /> Dlrecttan�: <br /> FIII out applicadon completely. <br /> Owner&Cantracbor sign back of appi(catlon,notarized <br /> (f over 52540,a Notice of Commencernent(s required. (l4lC upgrades over 57500) � <br /> " Agent(for ttie contractor)'o�Power of Attomay(fo�the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER.PERMITfING (Front of Apptication Only} <br /> Reroafs if shingles Sewers Service Upgrades A/C Pences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an pubiic roadways..needs ROW <br />