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813.780-0020 City of Zephyrhills Permit Application Fax•s��-�eo-ooz� � <br /> Building DopaAment <br /> Dato Rucoivod g I 3�� � _ 1$y O <br /> , � � � � � � � � �Fi otn_�o Contact for Pormi_,�g <br /> r� <br /> Ownors Nama �pv�l�tt�rtS LLC, Ownor Phone Number �� — <br /> Owners Addresa Owner Phone Numbor <br /> Fae Slmple Titlnholder Name Ownor Phone Numbor <br /> Fea Simpla 1'tGeholder Addraea <br /> JOB ADDRESS 3�24 1� V� . LOT A � <br /> sueoiv�s�oN rnRCE�ioa ���'u.o—Z.�`001(�-(�330V' O 9 d <br /> (OBTAfNEO FROY PROPERTY 7A7(NOTC� <br /> WORKPROPOSED NEwCONSTR ADDlALT Q SIGN Q Q DEMOUSH <br /> B INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF COPISTRUCTION � BLOCK Q FRAME Q STEEI Q <br /> DBSCRIPTION OF WORK �w bUt1GtS ' C�.r '�� ��1C.�a5 L�(�. <br /> BUILOING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> �ELECTRICAL SG O� � �Q AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> J <br /> QPLUMBING S <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIAL7Y Q OTHER <br /> I FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE ��~ r�G�sTEaEo Y J N FEE Ctmr�n Y!N <br /> � <br /> Add�oss � uce�se a <br /> ELECTRICIAN COMPANY L�.u�ma n �1C ct-�r;� LL <br /> SIGNATURE sTEaEo Y I N FEE CURRE� Y/N <br /> Addroan �� S 1Pv m �1 License q �.. V � <br /> PLUMBER COMPAN1f <br /> SIGNATt1RE REc�,StEaEo Y/N FEE CURRF_n Y/N <br /> Addrosa ���q <br /> MECHANICAL COMPMIY - <br /> SIGNATURE aeois�aEo Y/N FEE CUARE� Y I N <br /> Addrec9 Llcanse!t <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N <br /> Address Ltcense# . <br /> III1111111IIIIIt1i1111111111111111111111111itt111111lIIIIIIIIl11111 <br /> RESIDENTTAL Attach(2)Plot Plans;(2)sets ot Ba�ding Plans;(�)set oT Energy Fortns;R-0.W PertnR for new consWqion, <br /> Minimum ten(10)workirtg days eNer submittsl date. Requlred onske,ConsWetion Ptens,Stortnwater Plans w/SBt Fertce tnstalled, <br /> Sanitary Faalities 31 dumpsler,Stte Work Permit for subdivisionsAaBe proJeds <br /> COMMERCIAL Attach(2)complete sefs oi Buiiding Pians plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Parmfl for new oonetniaion. <br /> Mintmum ten(1Q)worktng days aRer submittal date. Requfred onsRe,Construdlon Plans,Stortnwater Plans w/SAt Fenee tnstalted, <br /> SaNfary Fac�ttles 31 dumpsler,SNe Work Permft for all new projeets.Ail eommereiel requlrements musl meet eomqfanee <br /> SI�N PERMIT Altech(2)sals of Engineered Plans. <br /> '^•PROPERTY SURVEY required for eil IdEW tonslruetlon. <br /> Dlroctlons: <br /> Fill oul appUralion wmpleleiy. <br /> Owner 8 Contractw stgn baek of appliption,notarized <br /> If over 52500,a Notice of Commetteement!s required. (AIC upgrades ovar 57500) <br /> " Agent(for 1he conUactor)or Power oi Attomey(for the owner)would be someone with notarizad letter trom owner aulhorizing same <br /> OVER THE COUNTER PERMIT71N0 (copy of conlract requlred) <br /> Reroofa if shingles Sewers Service Upgrades AIC Fences(PtoUSurveylFootage) <br /> Drtvoways-Mot over Counter R on public roadways..needs ROW <br />