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I 813-780-0020 CiEy of Zephyrhills Permit Application F�e��-7aaooz� � <br /> I <br /> _ =�� Building Department i <br /> i <br /> � � �DateReceived / , $(3 g7G _ �,�Z.� I <br /> phone Contact for Permitting � <br /> I q� t , <br /> Owners Name I��' S7a.� G���� '� �"^d �^�' Owner Phone Number $ t3- u�^8$s� <br /> � <br /> Owners Address WZoo S �/o„r� �-v-c.� Owner Phone Number <br /> i <br /> �Fee Simple Titleholder Name Owner Phone Number <br /> �Fee Simple TiUeholderAddress <br /> JOB ADDRESS ��0 L 4�� ,�/l LOT# I� <br /> � SUBDIVISION W � Ll. O�ILJ pARCEL ID# �S-Z G- Z I-o I 4 0 -�P'�-O 1 Zo <br /> (OBTAINED FROM PROPFRTY TAX NOTICE) <br /> WORKPROPOSED e NevUcoNsrRB ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE Q SFR Q COMM � OTHER <br /> I TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL Q <br /> � DESCRIPTION OF WORK ,�Go G �o..� �3!� 7 Lt�/.fz�4• I 2� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> TI'T1�rTITi�ITlT1�RrITrrlTTrrP'ITTr�"19"'ITITR7�Ti�ITrrC9TrrITi'1'7��TrTT� <br /> �BUILDING $ Q � � VALUATIONOFTOTALCONSTRUCTION <br /> Z7 <br /> QELECTRICAL $ , , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> I OMECHANICAI $ VALUATION OF MECHANICAL INSTALLATION '�,� ' f v E�y <br /> QGAS Q ROOEING Q SPECIALIY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> TT�rr�T�Ti1TT;Tr�T ��) AIS'I�TrrTr��Trr�i;TTTr TrTiTi� <br /> M ��V r � `^_ <br /> BUILDER COMPANY � ��� �V'�/�12�0� �Oo/S <br /> SIGNATURE REGISTERED Y/ N �e cuwten Y!N <br /> � Address �Z� vv �r'C/r a�.�J �' Llcense# � �8�a <br /> I ELECTRICIAN ' COMPANY <br /> SIGNATURE REGISTERED Y/N F�cuw�n Y/N <br /> Address Llcense# <br /> i � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURREA Y/N <br /> Address Llcense# <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERFD Y/ N �ecuttaen Y/N � <br /> i ! <br /> Address Ltcense# <br /> i � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N <br /> i Address Llcense� <br /> IIIIIIIIIIIIIt11111I11I1111I1111t11111t1ttI111111tItI111ll1tt111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permitfor new construction, <br /> Mfnimum ten(10)working days after submlttal date. Requlred onsite,Constructfon Plans,Stortnwater Plans w/Silt Fence tnstalled, <br /> I Sanitary Facllitles&1 dumpster,Site Work Permit for subdlvisions/large prajects <br /> COMMERCIAL Attach(2)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permitfor new constructlon. <br /> � Minimum ten(10)working days after submittal date. Requlred onsite,ConsWction Plans,Stortnwate�Plans w/Silt Fence Installed, � <br /> � Sanitary Facllitles&1 dumpster.Slte Work Permlt far all new pro�ects.AII commerciat requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. � <br /> ""`PROPERTY SURVEY requfred for all NEW construction. , <br /> -�-{-1-1-(.�-f..I-F-Sa-1-1-1-1-1-•.�FQ-C-1-1-1-1-1-1.-{-1-I.�1-1-F-f-f-1-F-1-i-E.�la-1-1-i-1-1-N-41-1-1-L-L.(�-1-1-{••1�-1-F-1�-�+ <br /> Directions: <br /> Fill out applicaUon comptetely. <br /> Owner&Contractor slgn back of application,notarized <br />� If over$250D,a NoUce of Commencement Is requfred. (AIC upgredes over$7500) <br />� " Agent(for tha contractor)or Power ofAttomey(for the owner)would be someone wiffi notarized Ietterfrom owner authorizing same <br /> OVER THE COUNTER PERMI7TING (copy of contract require� <br /> Reroofs if shingfes Sewers Setvice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />