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'�°=;' `�w 813-780-OD20 Ciry of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildfng Department <br /> � � <br /> Date Recefved Phone Contactfor Permltting O �3 �02- d Q 2� <br /> Owner's Name i'l1l f L� � T�Y►Ul `�—l_ Owner Phone Number <br /> Owner's Address � c5 ��1��-K�1C������ � Owner Phone Number <br /> FeeSiinpfeTitleliol0er Name � Owner Phone Num6er <br /> Fee Simple TiUaholder Address <br /> JOB ADDRESS —'� � �� � e,�aCQ � J��Z LOT# � <br /> SUBDIVISION F-(�1�.�(111� Y�(CL PARCEL ID# �z—�II�����3 <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ,B .N TIkLLSTR e REPAIR � SIGN Q Q DEMOLISH <br /> PROAOSEDIfSE �� SFR � 'COMM Q OTHER • <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCWPTION OF WORK �►" 1I — <br /> BUILDING 51ZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL. $' '•` " AMP SERVICE Q, PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q� ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOft ELEVATIONS FLOOD ZONE AREA �YES NO I <br /> BUILDER COMPAfdY �Q,�1� SCY�- V� <br /> SIGNATURE REGISTERED N fEE CURRE� /N <br /> Address �vtn �j �-(1 License# � <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y f N <br /> Address License# i <br />� QLt!&ABER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE�' Y�/N� <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE Cl1RRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllll <br />, RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minfmum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Sil[Fence instalied, <br />� Sanitary Facilities&1 dumpster,Site Work Permit(or subdivisfons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Llfe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConshucGon Plans,Stortnwater Plans w/Silt Fence installed, <br />� Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br />� SIGN PERMIT Attach(2)sets of Engineered Plans. <br />� ""PROPERTY SURVEY required for ail NEW constructfon. <br /> Dlrectiw�s:• <br /> Fill'out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing sama <br /> OVER THE COUNTER PERMIITING (copy of contract required) <br /> Reroofs ff shingles Sewers Service Upgredes A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />