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o � <br /> 813I��so-oo2o City of Zephyrhills Permit Application Fax 813-780-0021 <br /> � Building Department�" '' � - -- - . � <br /> . I , _ 1 <br /> Date Received Phone Contact for Permtttin � �� ' . ,U� = �(,� �i� <br /> i <br /> Owner's Na Ie L 6GL�//V ��m,� Owner Phone Number U��"' ����g <br /> i� <br /> Owner's Add Iess ��'�o�� � � Owner Phone Plumber <br /> G - � <br /> Fee Simple Titleholder Name Owner Phone Number ' <br /> �� - � <br /> Fee Simple Titleholder Address ' <br /> �I <br /> JOB ADDRESS �7�p�� �' , /�� • LOT# �� <br /> � <br /> SUBDIVISIO�I (T�,� /�-l�p/�� PARCEL ID# ���� � L/I�D ���� . ��� , <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP�SED , B �NEw CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED,USE Q SFR Q COMf1� Q OTHER <br /> YYPE OF CONSTRUCTION � Q BLOCK ' Q FRAME Q STEEL Q <br /> DESCRIPTIO�OF WORK /l�S, ��C% (,�/� /1J e-� % � T ��La I �d'�'1• /lk'�� � <br /> � <br /> BUILDING SIZE SQ FOOTAGE��, FIEIGHT: : <br /> OBUI�LDING $ VALUATION{OF TOTAL CONSTRUCTION <br /> QEL�CTRICAL $ AMP SERVICE PROGRESS ENERGY W.R . � <br /> � Q .E C. <br /> QPL�MBING $ � <br /> OME�HANICAL $ - VALUATION OF MECHANICAL INSTALLATION <br /> � 3�9�; Q� . �/ � �ol <br /> OGAS [� ROOFING Q SPECIALTY Q OTHER I <br /> � 1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� I <br /> � <br /> �UILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N� FEE CURREA Y/N <br /> Address' Lfcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Addeess - License# <br /> PLUA9BER COMPANY <br /> SIC�iWATURE REGISTERED Y/ N FEE CURRE� Y/N i <br /> Add�ess� ` License# ' , <br /> �Q �` * �/�� ,� � <br /> MECHANICAL �,rj� ,/� COAAPANY J��i�SP A/II�=�YSt�/�° ��� <br /> SIGNATURE I' 6� � REGIS7ERED Y,/ N FEE CURREP Y/.N <br /> Addres�� '��"�`� ��G''/1i /� �� /�LS � License# C�/�����`�O <br /> . i <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. I <br /> i <br /> Addres$p License# ' <br /> � <br /> RESIDENTI I� ;Attach(2)Rlot P,lans;(2)§ets of Building Plans;'(.1)set of Energy Fortns;R-O-W Permit for'new construction, , <br /> Minimumiten.(1.0)working:days afte�_submittal date:�Required�onsife,ConsUuction�Plans;�Stortnwater Plans w/Silt Fence installed, <br /> � Sanitary FecillUes.&�1r;dumpster,�Site°Work•Permit for subdivisionsHarge projects . - --, <br /> COMMERCIAL Attach(3)complete set`s of Buildirig`Plari`s plus a Ltfe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> � Minimum ten(10)working days after submittal date. Requ(red onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> ��` Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requlrements must meet compilance i <br /> SIGN PERMI� Attach(2)sets of Enginee�ed Fians. , . �� - - <br /> "'"PROPERTY SURVEY required for all NEW construction. <br /> Directlons: � � <br /> _ -�-_"Fill-ouf applica�ti��mpletely,�_ ' <br /> Owner 8�Contractor sign back of applicatlon,notarized <br /> If over�2500,a Notice of Commencement is required. (A/C upgrades over 57500) � <br /> " /�qent(f��the contracfor)'or Power of Attamey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER TWE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs If shinlgles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) ' <br /> Drlvewa�ys-Not over Counter if on public roadways..needs ROV1! ; <br /> � <br /> � <br />