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a��aao-ooaa City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ' Building degartrneni . ' <br /> Date Received � i�—�� � phone-Cantact for Permittln '��� �� — l3J t�� <br /> Owner's Name `Y���.�i t'e�� ! 1 � Owner Phone Nucnber O N ! oa'"���� <br /> Owner's Address V-('� F lUc."�` �� Owner Phone Number � � <br /> Fee Simple Titleholder Name �nQ�� � Owner Phone Number � .,� � � <br /> Fee Simple Titleholder Address a <br /> JOB ADDRESS L�1� �1� �� Z � rh r�I s -�13��5�,, LOT# [_� <br /> SUBbIVISION �� � PARCEL ID# <br /> (OBTAINER EROM PROAEE2TY TAX NQTtCE} <br /> WORK PRBPClSED �NEW CONSTR ADD/ALT � SIGN Q Q DEMOI.ISH <br /> INSTAI:I. 8 REPAIR <br /> PROPQ3ED.USE .., Q SFR � COMM � OTtiEFt <br /> 7YPE OF CONSTRUCTION ._ Q BLOCK � Q FRAME � STEEL Q <br /> a <br /> DESCRIPTION OF WORK C„Gr ��-X ^rQ. �C <br /> BUILDING SIZE �— � SQ FOOTAGE�, HEIGHT C�� <br /> QBUILDING $ f� -r.z:��_:. ,::�_. . <br /> � � VALUA710N OF TOTAL CONS'TRUCTION <br /> QELECTRiCA� � � AMP SERVICE Q PROGRESS ENEi2GY Q W.R.E,C. <br /> QPI.UMBING �>� � <br /> l -� c� o <br /> OMECHANICA� �5�. VALUATIOt�t OF MECHAttiItCAL IPlSTAILATION � <br /> QGAS Q FZC}OFIi�IG Q SPECIA�TY � OTHER <br /> , FINISHED FLOOR ELEVATIONS ��� F1.00D ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N.. <br /> Addres� License# �� � <br /> << <br /> ELEC7RICtAN ., COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � Ltcense# � � <br /> � PLUMBER - COMRANIf <br /> SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N <br /> Address -License# <br /> MECHANICAL COMPANY <br /> � SIGNATURE REGI87ERED Y./ N FEE CURRE� Y/'N'� <br /> r <br /> Address License# � � <br /> (i OTHER \t� COMPAHY ���� <br /> 51GNATURE ���.X`�1 ' '� �"'�, ( REGISTERED Y/ N ; FEE CURRE� , Y/N- <br /> I Address Ucense# �i � <br /> �RESIDENTiAL Attach{2}Flot P.ians;.(2}sets of.Bullding:Plans;{1}set of��riergy4Forms;R-O-W Pemiit ior new construcUon, <br /> - Minimum.tetr(�1,0).working,days,after,submittal date.�Requlred onsife,Constrtic8on•Plans;Stormwater'Plans w/Stlt Fence installed, <br /> Sanikary Ear.IJiUes:&1,,dumpster Slte..Work Permit for_subilivisfonstlarge proJeots • � -� <br /> - �COMMERClAl. Attach{3}c6mplate sefs of Building'Plans plus a L.ife Safety Page;(1}set of Energy Forms.R-Q-W Permit for new canstrucUon. <br /> Minimum ten(10)working deys�afte�submittal date. Requlred onsite,Canstructlon Plans,Stormwa4er Plans wrl Slit Fence installed, <br /> Santkary Factlities&1 dumpster.Site Waric Pernsit for aii new praf ects,Aii cammerciai.requlrements most meet campitance <br /> , � SfGN PERNi1T Attach{2)�sets oE Engineered P,lans.;�� Y, � " . ' <br /> ""•PROPERTY SURVEY required for all NEW canstruction. <br /> Dlrections: . <br /> Fill out applicadon completely. <br /> C}wner&Contraatar slgn badc of appiicatlon,natatized <br /> if ovar s2S00,a Notice_of Commencement Is required. (A!C upgrades over 57500) <br /> '" Agent.(for ttie contracfor)or Pbwer of Attoiney(for the owner)would be someone with notarized Istter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppllcaHon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />