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- a�saao-oo2o City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � r <br /> � Building Department <br /> Date Recelved vt "- o��-,)(a Phone-Contact for Permlttin ��3 ��� - `7'7 � <br /> Owner's Name S'�'C�/e v� b('o S'y Owner,Phone Number <br /> Owner's Address 53� �R Onl"i'-I e Q �R Owner Phone Number <br /> Fee Simple Tltleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS ���S 17h� S"` tE j' Z,�PNy t{��LS (�-L LOT# � <br /> SUBDIVISION PARCEL ID# <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) . <br /> WORK PROPOSED �NEW CONSTR ADD/ALT [� SIGN ..Q Q DEMOLISH <br /> -� INSTALL e REPAIR <br /> PROPOSED USE ., Q SFR �] COMM , Q OTHER <br /> TYPE OF CONSTRUCTION . Q a �BLOCK � Q FRAME Q STEEL Q ' ' <br /> DESCRIPTION OF WORK �✓P':V� �n1 0. ��u �' �"i �- �� <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT . <br /> QBUILDING $ 3�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �/'1d�,� <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q `ROOFING. Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER (� �J lJ COMPANY �Y►ornrr�yS�r_ P�o✓c'%i-�i iM n'lt, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N : <br /> Addresa �.��1(� F�-o�1�-i�e✓ n•u� v� rh���S License# <br /> ELECTRICIAN COMPANY � <br /> � <br /> SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address •� ' �License# <br /> PLUMBER - COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# ' `-� <br /> MECHANICAL COMPANY � <br /> SIGNATURE � REGISTERED - � Y,/� N FEE CURRE�- , Y/•N; <br /> Address License# ' <br /> OTHER COMPANY ` - <br /> SIGNATURE ` REG�S7e[tE� Y/ N.. FEE CURRE� ,� Y./N <br /> Address - ` Licen§e# <br /> RESIDENTIAL Attach(2),Plot P.lans;(2)sets.offBuilding;Plans;(1)set of'Energy�Forms;R-0=W Permit for new_construcUon, <br /> , ,.,, <br /> ; .Minimum�ten(10),working;days after:"subrriittaf date. Required onsite,Constntotion�Plansr°Stormwater`Plans w/Silt Fence installed, <br /> Sanitary Faciiides;&�t,dumpster_Site,Work',Permit for'subdiVi'sions/large.proJects � _ __ <br /> COMMERCIAL Attach(3)complete'sets of Builiiirig`Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worlcing days after submittal date. Requlred onsite,ConstrucUon Plans,Stortnwater Plans w/Sflt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Pertnit for all new'project's.All commercial.requirements must meet compllance <br /> SIGN PERMIT Attach(2):sets of Erigineered Plans.�, �r • , <br /> ""PROPERTY SURVEY required,for all NEW construction. <br /> Directions: <br /> FIII out applicaUon completely. <br /> Owner&Contractor sign back of applicaUon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over a7500) <br /> _ , <br /> " Agent(for tFie 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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />