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813-780-0020 City of Zephyrhills Permif Application FaX-e�3-�ao-oozt I, <br /> ° Buil�ing Department <br /> Date Received �, phone Contact for Permttting ��1 $76 — r J�� <br /> �� e vl! � !�O ' /7V <br /> Owners Name �O R� / �'� Owner Phone Number <br /> Owners Address .�7 y � �� f � Owner Phone Number <br /> Fee Stmple TiUehotder Name Owner Phone Number <br /> Fee 5imple TitleholderAddress <br /> JOB ADDRESS S 7 D �� �k � � LOT# � <br /> SUBDMSION z e k �y'��s PARCELID# ��Z�O Z�V��O V8���d��� <br /> (OBTAINED FROM PROPFR7`f 7AX NOTIC� <br /> WORKPROPOSED e NEWCONSfRe ADD/ALT �, SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK G�an e ow f �vc+r F �Do f. X . �� # 3 S"�?/. -.� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> TITrITCTTR�ITrI�rR�rl"iR'1TR9'RTI"l"'C'C19"'ITTI"1'TR'Tl"P'I�TlTrrri�ITRI'R'7�l�rTP <br />, OBUILDING $ p�Q' � VALUATION OF TOTAL CONSTRUCTION <br /> O O <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ q ' <br /> �' - J ,� � <br />� ECHANICAL WSTALLATION � <br /> QMECHANICAL $ VALUATION OF M <br /> OGAS [] ROOFING Q SPECIALTY G] OTHER <br /> I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> TTrrr�i�1;�TTrT�T�Tr�� Tr1TrTTriTT�TiTrtrriTTrrrTTrTTn <br /> sui�oeR �� COMPANY �t�:S�o �a.r - /�oor Se/'�% E <br /> SIGNATURE REGISTERED N FEECURa�. N <br /> Address 3 37 / b►�b�. ( 1� rL 337fo Z ucense# G�G ?-s ��0-3 <br /> ELECTRICIAN ' COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N <br /> Address License� <br /> PLUMBER COMPANY <br /> SIGNATURE RectsieR� Y/ N FeEcuwien Y/N <br /> Addre�s L(cense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURREp YIN <br /> Address License� <br /> OTHER COMPANY <br /> SIGNATURE aecisr�� Y/N F�cuwxen Y/N <br /> Address L(cense� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDEN7IAL Attach(2)Plot Pians;(2)sets of Bufiding Plans;(1)set of Energy Fortns;R-O-W Permitfor new construction, <br /> Mfnimum ten(10)working days after submiUal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWcUon Pfans,Stortnwater Plans w/Sflt Fence fnstalled, <br /> Sanitary Facllities&1 dumpster.Slte Work Permit for all new projects.All commercial requfrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY requfred for ali NEW consWction. <br /> -i-1�-a-ta-I--i-1-I--I-H�-I--t-i-I�-L.�-1--1--t-1-t-i�-1-a-1-1�-4-1-f-1�-I..E-1�-1�-1.a-F-�t�-t--i-1-��4-E-E-I-1-1-i-I-d-f-4-I-f�-f-1� <br /> Directfons: <br /> Fill out application completefy. <br /> Owner&Contractor sign back of application,notarized <br /> If ove�$2500,a Notice of Commencement Is requfred. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letterfrom owner authorizing sarne <br /> OVER THE COUNTER PERMIT'fING (copy of contract require� <br /> Reroofs if shingies Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />