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f <br /> 8�s- saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> _ ,. . Building Departrnent <br /> , � <br /> Date Receive /D �J Q Phone-Contact for•Permlttln � � , <br /> Owner'a Nam I J I�-1 1���J,�Q_ Owner Phone Number d i3 ���` q�/a�O <br /> Owner's Addr ss g D L' lj✓L, y�� �Owrner Phone Number�� <br /> Fee Simple Titlefiolder Name Oweer Phone Number " <br /> '��d ' <br /> Fee Simple Tit eholder Addre�� � <br /> JOB ADDRES 3 �"7 d '� �1��� � LC� �� LOT# � <br /> SUBDIVISION - PARCEL ID# ' <br /> ' (OBTAINED F,ROM PROPERTY,TAX NOTICE) <br /> WORK PROP SED • NEW�CONSTR ADD/ALT -Q SIGN' Q Q DEMOLISH <br /> �B. INSTALL - REPAIR �� <br /> PROPOSED:•U E Q SFR Q COMM ' Q -OTHER <br /> TYPE OF CO 3TRUCTION � Q �' BLOCK ' Q FRAME ��] ,"STEEL Q <br /> DESCRIPTIO OF WORK h.Q� ,Q� (r�l. I <br /> BUILDING SI � SQ FOOTAGE � . HEI,GHT �. <br /> OBUI DING $ VALUATION'OF'TOTAL'CONSTRUCTION � ' <br /> QELE TRICAL $ - . AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 0 � <br /> QPLU BING , $ ' <br /> . � � _ �. � ��19 <br /> QME HANICAL $: ]�G� O D d VALUATION OF'MECHANICAL INSTALLA7'ION <br /> l / � . <br /> �� Q ROOFING Q SPECIALTY � OTHER� - I <br /> FINISHED FL OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY� � <br /> SIGNATURH REGISTERED Y/ N FEE CURRE� Y'/N <br /> Address 5 ' Gcense# <br /> ELECTRICIAN_ . COMPANY - <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE�` 'Y/N <br /> Address ' � . ' . LlcenSe# , <br /> PLUMBER ' COMPANY , , . . <br /> SIGNATURE` ' '�' ' ; REGIST.ERED YJ-N., . , �e cuRRE� Y-/N • ' ` <br /> Address � � License.# <br /> MECHANICAI: � � � - t � U - <br /> '�J��/ /,� C.OMPANY C��.�.O–�C S <br /> SIGNATURE �C�V s�/�L � REGISTERED Y./ N . FEECURRE�. Y/�N <br /> Address.� . . ,, ' - . � � ' f License#� <br /> OTHER " ' � �- . � - ' " �,_COMPANY. � <br /> SIGNATURE- �"`� - '•'"' � � ' • ' REGISTERED ' 'Y/ N..,. FEE CURRE�• Y/N <br /> Addre�s -:�¢':y F� � ;t Ucense# � <br /> RESIDENTIAL'- . .Attacfi'(2).,PIotiP.,lan`s•(2)s � ' �� � � <br /> ,: ets�.of�Building'Plans;'(1)set of Energy Fortns;R=O=W Perrnit for new construcUon, <br /> - ,, Minimum�,ten�(t0)workingfdays;after_subrrmiEfal dat"e.<<:Required onsite;_Constiucdon:Flans;�Stormwater Plans w/S(It Fence installed, <br /> �� ��SaniteryFaclltUes-&;1;;dumpste_r..$Ite,Work;P,ermitforsubdiyisions/large:p:rojects _ ' ` ' <br /> COMMERCI Altach(3)�coinpleEe�set`s'oYBuildtng Plans'plus a'�Llfe Safetji Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> — __ Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster.Site Work Permit for all new;projects.All commerclal requirements.must meet compliance � � <br /> SIGN PERMIT Attacfi`(2)"sets ofEngineered=Plans.;:•; •��' �. • . , " ` <br /> .... @Q --- - ,.,_ <br /> PROPERTY SURVEY r^_ uired,for all_NEW construction.. . <br /> Dlrectlons: . . �- �- - ' <br /> Ffll out ap Itcatlon completely. <br /> Owner& � ntractoc sign back of appltcadon,notadzed <br /> If over;2 00,a Notice of Commencement is required. (A!C upgrades over ST500) <br /> � ;.,-;,;.,,.;:., � <br /> " AgeM(for the contraotor)`or"Powe�of Attomey(for tFie owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE CC�UNT.ER,PERMITi1NG•- --- (Front of-Application Only)- `' <br /> Reroofs if shin les Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlvewa Not over Counter if on public roadways..needs ROW � � <br />