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i{ . <br /> 813-i;so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department _ <br /> �� - <br /> ii <br /> Date Received ��� � ` Phone Contact for Permittin - <br /> . <br /> Owner's Nam i �"�1'T � (.� �� Owner Phone Nu ber 7D'�9��'� Z�'I <br /> Owner's Addr�ss �j(�'1 � L/.1X/l� Owner Phone Number ��='�`1� ��� <br /> Fee Simple Ti�leholder Name Owner Phone Number <br /> Fee Sim le Tl��leholder Addresa <br /> P <br /> JOB ADDRE I� �S�C� �(�' � L �/�+1�� LOT# � <br /> � <br /> SUBDIVISIONI �rl'��� � I�{ PARCEL ID# � � �^� •-C3��G(�-���U C� `r���b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN� Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED pSE SFR [� COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK 4 � FRAME Q STEEI Q <br /> DESCRIPTIO tl OF WORK s �1 �i ' <br /> BUILDING SI�'E t��7C'IZ� SQ FOOTAGE ��� HEIGHT �� ""��� <br /> I <br /> I <br /> �BUI�DING $ i���r ��� VALUATION OF TOTAL CONSTRUCTION ���t}p, �;� �_ <br /> �EL �CTRICAL $ AMP SERVICE �'� Q PROGRESS ENERGY Q W.R.E.C. <br /> �/�r�.�c9 <br /> � MBING $ �`��`�� <br /> cf <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �7 <br /> � � �1 ��� ' <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FL��OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER y� '/ � /� -'`�� �. COMPANY ' �Mv_1J(,,��V�'� <br /> SIGNATURE �{ ° REGISTERED Y/ N FEE CURREP Y�/N <br /> Address L`icense# <br /> .i4 � , _ : <br /> ELECTRICI � COMPANY 6�l�D f,� 2 <br /> SIGNATUR REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre Llcense# <br /> PLUM�ER � i/� � o' COMPANY �`�D Y�►a- UW OJ�t IZ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL - COMPANY <br /> SIGNATURE REGIS7ERED Y/ N , FEE CURRE� Y/N <br /> Address i License# _� <br /> OTHER � COMPANY <br /> SIGNATURE ' REGISTERED Y/ N�. FEE CURRE� Y/N. <br /> Address � License# <br /> RESIDENTIAL� AttacFi(2)�Plof P,lans;(2)sets of:Building Plans;(1)set of Energy�Forms;R-0=W Permit for new construction, <br /> Minimum:ten�(:10)working.days-aftec.subriiNtal date: Required onsite,ConsVuction Plans;Stormwater Plans w/Silt Fence instal�ed, <br /> ' Sanitary Facilitles&1,dumpster.Site Work�Pertnit for subdivislons/large proJects <br /> COMMERCIAL Attach(3)-camplete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onstte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster._Site Work Permit for all new projects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of'Engineered Plans...; �t <br /> � ""PROPERTY SURVEY regulred for all NEW conshuction. <br /> Directions: � <br /> Ftll out applicadon completely. <br /> Owner 8 Contractor sign back of applicaUon,notarized � <br /> If over�2500,a Notice of Commencement is requlred. (N,C upgrades over 57500) <br /> " Agent(fo'i tFie contractor)or Power of Attoiney(for the owner)would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shinigles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewa�ys-Not over Counter if on public roadways..needs ROVV <br /> 4 <br /> � �� <br /> I <br /> I <br /> I <br />