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- $�aaaaoozo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> f Building Department . <br /> � <br /> r ' <br /> ate Recelved � p� �� ((o � Phone-Contact for Permtttin ��3 �Z - ,��L � <br /> Owner's Name � � '� �ner Phone Number �7'� � ��( - �5��� <br /> Owner's Addre �Gti2 - ef we Owrner Phone Number <br /> p � �-tGv�,�. �L�'91'►'1�GGS l� a,���-�`� J'�3z-� <br /> Fee Sim le Titleholder Name ner Phone Number <br /> Fee Simple Titleholder Address a <br /> JOB ADDRESS �� �� �1 UV P� ��o (� II I . rJ 3S L LOT# � <br /> ^-• <br /> SUBDIVISION PARCEL ID# G��Z 6"Z� -oo(a 'O�`(O U -O D /Co <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �New cONSrR ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED;USE � Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION .. Q BLOCK , Q FRAME Q STEEL Q � � <br /> _ e <br /> DESCRIPTION OF WORK' '� ��� <br /> BUILDING SIZE ��� �d SQ F007'AGE 3�a�� HEIGHT . � S��� <br /> QBUILDING $ /� `�`�"" =`-`=�- <br /> � 0 p Q VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> . � � ��s�9 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING • SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � ,A �E���, COMPANY Z��L ��>� � �e"�I <br /> SIGNATURE �) REGISTERED Y/ N FEE CURRE� ,Y/N � <br /> Address �15�5�37 �� �caJ f� �I � 3��0�� Ltcense# �C- �7 �3�Ogl� <br /> ELECTRICIAN ti COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Addresa LlcenSe# <br /> PLUMBER - COMPANY <br /> SIGNATURE REGISTERED Y'I N FEE CURRE� Y/N <br /> Address .License# <br /> MECHANICAL COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE�- ' Y/N' �. <br /> Address+� � � Lfcense# <br /> OTHER COMPANY -- <br /> SIGNATURE REGISTERED Y/ N. . FEE CURRE� , ;' Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2).Plot Plans;.(2)set§of:Building'Plans;(1)sef of Energy�Forms;R-O-W Pertnit fo�new�construction, , <br /> ,.,, <br /> . Minimum;ten;(4.0).working`d"ays;after„submittal`date. Required onsite,Canstiuction•Plans;°Stortnwater'Plans vir/Silt Fence installed, <br /> = Sanitary Facilft�es:&�=1,dumpste,r.,�Slte Work�RErmit for subdivi'sions/iarge projects : ;�� " ` � - - <br /> COMMERCIAL Attach(3)complete sets`of Builclirig`Plans plus a Life Safety Page;(1)set of Energy Forms.R O-W Permitfor new construcUon. <br /> Minimum ten(10)working days aiter submittal date. Required onsite,ConsUuctlon Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary FaciliHes&1 dumpster.Site Work Parmit for all new project's.All commercial.requlrements must meet compllance <br /> SIGN PERMIT Attaoh'(2)�sets of Engfneered•Flans:��•�',;�-` � _ <br /> •`••PROPERIY SURVEY reyuired for all NEW constructlon. , <br /> Directlons: <br /> Fill out applicadon completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement i�required. (A!C upgrades over s7500) <br /> " Agent(far ttie contractor)or Power of Attomey(for_the:owner)wo�ld"be.som�eone with notarized letter from owner authorizing same <br /> DVER THE COUNTER.PERMITTING (Front of ApplicaGon Only) . , ' � ' <br /> Reroofs if shingles Sewrers Service Upg�des'pdC. �� Fences�(Plot/Suivey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs.ROW ' "` �� <br />