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:, a l..u��' �i_..�G <br /> � . Y � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 `PG��'1 �� <br /> "" Building Department <br /> � • Date Received 0�16�( Phone Contact for Permitting ��, `��. — 2�(, � /G�� ! <br /> �(, p � F�� � <br /> Owner's Name �' �L�} � � �1,. Owner Phone Number � ' � '�,� 5g <br /> Owner's Address -) � � Owner Phone Number <br /> Fee Simple Titieholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �� JOB ADDRESS I � I 1 l'�Y�� �Ji- Ze h r h i I 1 335 �-- LOT# � <br /> SUBDIVISION PARCEL IQt! <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTIONOFWORK i�l�w C���S�hru�-{ion SI` IJ�OU� (1 � <br /> BUILDING SIZE SQ FOOTAGE L� HEIGHT � I <br /> OBUILDING $ 1 1,1,/1 r�lfl VALUATION OF TOTAL CONSTRUCTION <br /> 1lW "llllJ <br /> hr; <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� �� �� <br /> � ` �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /yy <br /> �r. <br /> OGAS Q ROOFING Q SPECIALTY � OTHER 1 �'� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � <br /> �`6 .S-�,� <br /> BUILDER ' �� COMPANY i'f�� 1�/111.. �mW � �C . <br /> SIGNATURE �'� �� REGISTERED Y/ N FEE CURRE� Y J N <br /> , Address I l, , l '1 l.I�I I t� License# � ��S <br /> ' ELECTRICIAN � COMPANY <br /> Tam�G f�ct. 1�e�m�U rn L"(ec ��jJat�,�`s��`e�9 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address r5�a�-I � �e��t� u�s� �r T License# � ��'j ��/U <br /> PLUMBER COMPANY ����1 1 l�`-� ��U mIJ I� �/ <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address N e _1rtU� � ni License# � � �t � <br /> MECHANICAL A�� COMPANY NUI...���� e� I� <br /> y�y� .� � <br /> SIGNATURE i+ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � ���3� <br /> C e U License# <br /> +j � OTHER ���`.'°`�� COMPANY �U �1 �DO11Q�C lii 1�1� l��(}' � � <br /> � �� SIGNATURE . REGISTERED / N FEE CURRE� Y/N <br /> Address Q �, ���1) �Ul � � License# 1���� �`"1") ` �� �1 <br /> IIIIIIIIIIISIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIISI1111111111111 � ���� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, �p <br /> Minimum ten 0)working days a er submittai date. ,eqwr�"R��te,Construc ion ans,Stormwater Plans w/Silt Fence instailed, i <br /> Sanitarv Facilities&1 dumpster;Site Work Permit for subdivisions/lar e ro'ec�s'— <br /> COMMERCIAL Attach(2)complete sets of Building lans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsita,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Sfte Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for alI NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> � " Agent(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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />