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I - 813-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> - Building Department . <br /> .l ! <br /> Date Receive� , Phone Contact for Permitting - ' <br />� / ' ��3-3pS-�'�l� <br /> Owner's Nam �l GVf �r Owrner Phone Number <br /> Owner's.Addr ss �b�� �t'�v s� • Owner Phone Mumber <br /> Fee Slmple Ti leholder Name - Owner Phone Number � <br /> Fee Slmple T'tleholder Address <br /> � 7,b l� �C�'/o S . Z ��c' �. 33 S yo LOT# <br />� JOB ADDRESS ( � � <br /> SUBDIVISIO l/� U!�c✓ t7'6�(f PARCEL ID# � 2.(" D�Z� -OD�O- I Z�d <br /> (OBTAINED FRON1 PROPERTY TAX NOTICE) <br /> WORK PROPOSED _ NEW CONSTR ADD/ALT 0 SIGN Q � Q DEMOLISH <br /> e INSTALL B REPAIR <br /> PROP.OSED SE.. Q SFR Q COMM � OTHER � <br /> TYPE OF CO S'i'RUCTION Q BLOCK - Q FRAfVIE 0 STEEL Q <br />� 6 ` 4� ` ,�(J� �(%e�� � <br /> DESCRIPTIO OF WORK c e <br /> BUILDING$1 E � 3Q FOOTAGE l�O , HEIGHT � ' <br /> � QBU LDING $ � <br /> 3,�0('� r7� VALUATION=OF TOTAL CONSTRUCTION <br />' QEL CTRICAL $ AMP SERVICE '� PROGRESS ENERGY Q W.R.E.C. <br /> QPL MBING $ <br /> M CHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� �� <br /> 0 � l <br /> / <br /> QG S Q ROOFING Q SPECIALTY � OTHER ��� <br />' FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY Gl�.( �, C'� <br /> SIGPIATURE REGISTERED Y/`N FEE CURRE� Y/N <br /> Addres ��� q (G) L-.2� License# /l 7 S I <br /> ELECTRICI, COMPANY <br /> SIGNATURE a REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres L'icense•# � <br /> PCUM�ER.; , ..COAflPANY• <br /> SIGNATURE , �REGISTERED Y-/ N _ FEE GURRE� Y/N <br /> Addres � License# <br /> ,,_MECHi4NIC COiVIPANY <br /> SIGNATURE' REGISTERED Y/.N F.EE CURRE� Y/N <br /> � Addres �� � � ' License# <br /> ,.:;�:�: . . <br /> -0?iHER°� `>� " COMPANY - � <br /> 'SIGNATUR ; ''' ` ' REGISTERED � Y/ N FEE CURRE� Y/N � <br /> Addres ��< - � _, • '' License# <br /> �`RESIDENTI °::.: AttaoF%:(2)iPlot'Plans;(2):set's of-Building=Plans;(1)'set'ofEnergyForms;R-O-W:P.ermitfor,`new.construction, • <br /> , - �;,y:. ::•��-�Minimum:ten�,:1'0 irvorkin ';da ;s after sutirriittal-date. Re uired�on§ite"�Constniction Plans Stormwater Plans.w/Silt Fen e'ns II d <br /> - :._�<..3,�.:�� � �,� .�.�� .. .�. )� . 9 Y 4 , , _ .. _ c i ta e , <br /> S'anitary,,Facilitie,s:&,,1i,dumpster;SifesWorkPermit'for�subdivisions/large.projects, ��` � <br /> •..•.COMMEF2CI Attach�(2)''complete sets of Building'Ptans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructton. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence:installed,. <br /> �� Sanftary Facilitfes 8�1 dumpster,Site,Work Permit fo�all new p�ojects.All commercial repuirements must meet wmpliance <br /> ���SIGN-PERM T AttacFi(2)sets ofs.EngineerQd Rlans:���- : � <br /> ` ""PROPERTY SURVEY required for_aII.NEW..coristruction. , <br />� ''Directions• _- . , . - <br />, �.Fill'out pplication completely. <br /> Ovirner Contractor sign back of application,notarized <br /> If over 2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ",�_,�,;.,,.;. <br /> i " Agent( 'r'ftie'�cont�actoc)-or-Power of Attomey(for ttie oi,vner)would be someone with notarized letter from owner authorizing same <br /> .�O�IER.THE` �OUNTER PERMIITING�••^•:�-{copy.of;contract-reGuired) <br /> Reroofs if sh ngles Sewers ` S'ervlce.Upgrades A/C; �.Fences(Plot/Survey/Footage) <br /> Drlvew ys-Not over Counter if��on�public roadways.:needs.ROW' <br /> - I -- - - <br />