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- � <br /> 813- SO-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �� ' ' � Building Department <br /> Date Recelve Phone•Contact for Permittin ,�S�� �6� - �U� <br /> Owner's Nam /— � l• Owner Phone Number ���'" �/' <br /> Owner's Addr ss � d/ �'/a�� F�� Owner Phone Number � <br /> Fee Slmple TI leholder Name • Owner Phone Number <br /> � <br /> i . <br /> Fee Simple TI leholder Address <br /> JOB ADDRES �7�d / J,/� �- ,/`�5 / � �.� LOT# � <br /> SUBDIVISION �l�/�/V7,� 7' ZD PARCELID# 3�f a5 ai ���� ddU� LO�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP� SED , e NEW CONSTR� ADD/AI:T Q SIGN� Q Q DEMOLISH <br /> ! INSTALL REPAIR <br /> PROPOSEO- SE Q SFR [� COMM Q OTHER <br /> TYPE OF CO STRUCTION Q BLOCK 4 Q FRAME Q STEEL Q <br /> DESCRIPTIO I OF WORK /�G'��', �" (� �' �6GQ.'L. � �D/J 1 �6 �/��� <br /> BUILDING SI E SQ FOOTAGE� HEIGHT <br /> QBUI DING $ VALUATION OF TOTAL CONSTRUCTION _ <br /> QEL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPL MBING $ " <br /> QME HANICAL $ .t,l,�l�, B� , VALUATION OF MECHAfVICAL INSTALLATION <br /> l <br /> QGA, [� ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FL OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICI COM PANY <br /> � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address' �License# <br /> PLUMBER ; COMPANY <br /> SIGNATURE ! REGISTERED Y/ N FEE CURREA Y/N <br /> � <br /> Address! License# <br /> MECHANIC c - COMPANY /✓/rffl2S .✓�d /f/�Ie ���L° r%�[�' <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address' ���� /7`l ej� ��/`$ �j� License# ��L°D�J���' <br /> OTHER COMPANY <br /> SIGNATURE � REGISTERED Y/ N. FEE CURRE� Y/N <br /> Address� � Ucense# <br /> RESIDENTI Attach(2).PIoQ Plans;(2)sets of:Builtling'Plens;(1)set of-Energy�Forms;R-0=W Permit for new construction, <br /> Minimum,ten:(1.0)working:days_aftec submittal date: Required onsite,ConstiucUon Plans;Stortnwate�Plans w/Silt Fence installed, <br /> Sanitary Facilitles&;.1;dumpster 8ite�Work•P.ermit for subdivisionSAarge projects - � <br /> COMMERCIAl. Attach(3)oomplete se4`s of Building Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woricing days af�er submittal date. Required onsite,ConsUuction Plans,Stom►water Plans w/-Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new proJecfs:All commerclal requlrements must meet compliance <br /> SIGN PERMI Attach'(2)sets of Engineered .P.lans.,- � . <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fill out ap licadon wmpletely. <br /> Owner& ntractor sign back of applicaUon,notarized <br /> If over S 500,a Notice of Commencement is requlred. (AIC upgrades over�7500) <br /> " Agent(fo the contraotor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE CpUNTER P.ERMITTING (Front of Appllcation Onty) <br /> Reroofs if shin les Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewa� -Not over Counter if on public roadways..needs ROW <br /> � <br /> \ <br />