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8��-�80-002o City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � � Building Departrnent . <br /> Date Received -� s Phone�Contact for,Permittin - <br /> Owner's Name � D 1� f- � /tf C� � Owner Phone Number g�� - �� .�'d�G� <br />' Owner's Address 3 �� h � ➢Q-S�`� �� Owner Phone Number � � �o�� '� D 5 <br /> Fee Simple Titleholder Plame Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS -�5-� I ��� ,$ � 1/ �jr- LOT# ��� <br /> SUBDIVISION .��►c�r�/d � ��✓� � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q <br /> DE3CRIPTION OF WORK �. /�' � S ��¢ o�lP .x J�� `���5 d ��v �eJ����' <br /> �¢ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � X N Z <br /> �UILDING $ VALUATION OF TOTAL CONSTRUCTION /���� �-�—' <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ ��C I 1 � �G�i'� <br /> � J <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �O'G <br /> QGAS [� ROOFING Q SPECIALTY [�] OTHER �Pe /��, �C�vrlG,,,� � �<Q'V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � //� q � <br /> I��� !�� <br /> BUILDER �d�� O L✓''�e��: �i v COMPANY �O y�- � /�1�CC, IP //�,lJ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address t3vf`�/ �/�� P � Ucense# <br /> ELECTRICIAN �M e ����� '�n,� �� COMPANY ^ �G�� � �/�. CG II�N� <br /> SIGNATURE `'°�� <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address v�s3% /�� 8�'�P Lfcens�# <br /> ,�>Oh'I P d �'`� N � <br /> PLUMBER /T /� Y I � ` COMPANY I �� � _ ,C� C� �►`� <br /> SIGNATURE �.3 /¢�i4(} ,j p REGISTERED Y/ 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 �� �Y License# <br /> RESIDENTIAL Attach(2)Plof Plans;(2)sets of Building Plans;(1)set'of Energy�Forms;R-O-W Pemiit for new construction, <br /> Minimum,ten(10).working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&-1.dumpster Site Work�Rertnit for subdivislonsAarge projects <br /> COMMERCIAL Attech(3)coinplete sets of Building�Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construcdon. <br /> Minfmum ten(10)working days after submittal date.:Required onsite,ConsUucBon Plans,Stormwater Plans.w/Silt Fence installed, <br /> Sanitary Facilitles 81 dumpster._Site Work'Pertriit for all new projects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered.Plans._ `` , '4 � • _ , - , ,�, � � - � <br /> ""PROPERTY SURVEY required for all NEW conStriictlon. � � <br /> Directlons: <br /> Flil out applicatlon completely. <br /> Owner&Contractor sign back of applfcatlon,nota�ized <br /> If over 52500,a Notice of Commencement is requfred. .(AIC opgrades over;7500) ' " , � <br /> " Agent(for the contraotor)or Power of Attomey'_(for,the owner)would be,someone with notarized letter from owner authorizing same � J <br /> DVER THE COUNTER.PERMITTING (Front of Applicatlon'Only)��'':. �� ; ' - • •�}- ~T-����^•� .�> -�,_. �.-. <br /> Reroofs if shingles Sewers s Service Upgrades A/C"•' .Fences`(FIpUSurvey/Footage) � - . .� . ,��� , , <br /> li, ,.y�i.::.:' ;i .,,I� : :. . .'�v_':y t R � } , : ; C <br /> Driveways-Not over Counter if on public roadways..needs ROV1!�n "� �= �•� . ��� • � y� .I�� .+� .� ,�• � .� - ' ! <br /> � ...« s . a+t+'.�..•m.anr . M. ... . io..�y..1. � ' .l <br /> � � � . 'm ....:.f..d.• ��.� ....Y .n1 n ,•...�.� : � <br />