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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department . <br /> Date Rec�:�ed ' Phone Contact for Parmittin — <br /> Owner'sName E co,N -f�c�c'�foN s�ilQ� � ���yq ��� OwnerPhoneNumber � '� ¢ " ��/�� <br /> Owner's Address ? Ct7b'P�Q C'�c " �LYn � O Owner Phone Number <br /> 5/�R As�cR, <br /> Fee Simple Tltleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address - <br /> JOB ADDRESS O �]. � �6 �L1. LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> B INSTALL 8 REPAIR <br /> PROPOSED�USE .k Q SFR Q COMM Q ^�TyE� �.r.�e �v �rq�c� <br /> TYPE OF CONSTRUCTION . Q ` BLOCK ' Q FRAME Q STEEL Q <br /> DE3CRIPTION OF WORK �� �� GCp� S'�►"(,[� <br /> BUILDING SIZE IZ �� SQ FOOTAGE[�. HEIGHT . <br /> �BUILDING $ I �U VALUATION�OF TOTAL COIVSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /��� <br /> � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> SUILDEit COMPANY • coNsi Cf IM! S t 1[�s �o ►. � <br /> SIGNATIlRE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas Q�� UK • ��9l1e�. 1� <br /> "'�`�� ��� C�� ��� S'� •1\0 � 3 ?A\ License# ��- �✓ C�� <br /> ELECTRICIAN `- � �(L3� ��� COMPANY -C ��� � ,L, ��' <br /> SIGNATURE J� ����� � � p REGISTERED <br /> / N FEE CURRE� Y/N <br /> �lddress License# <br /> PLUMBER ., n �� �j,,.Q�� COMP.ANY �11.� 0 7 ►n(,q WC, <br /> SIGNATURE ���C ���/ "`t-��l' -" "� REGISTERED / N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address` License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Flot Plans;(2)sets�of:Building Plans;(1)set of Energy�Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(-10),working'days,after,submittal date: Requlreii onslte,Constructton Plans:Stormwater'Plans w/Silt Fence installed, <br /> SaNtary FaciliUes.&1.dumpster Site,Work•Rennit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Bulldirig Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construcUon. <br /> Minimum ten(10)woricing days'after submittal date. Required onsite,Constructlon Plans,Stormwater Plans�r/Silt Fence installed, <br /> Sanitary Facllitles 8 1 dumpster.Site Work Permit for all new projecfs.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. . , <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of applicaUon,notadzed <br /> If over 52500,a Notice of Commencement ts required. (AIC upgrades over b7500) <br /> " Aqent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appllcation Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � � �'��"���'��� • � , ';��':� , <br /> :+• <br /> , , . , ..,> , � _ ;�� , <br /> ;., �., .. . - . <br />