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-� <br /> � ``, -, 813-780-OD20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , � Building Department <br /> Date Recefved Phone Contactfor Permittfng �3 ��� - l�Q� <br /> Owner's Name 1'V.I/����� �—�—C Owner Phone Number <br /> �� S FLarlC�cx-Pa�e c�e �a�a <br /> Owner's Addrass 3Lq Owner Phone Number <br /> E�e&fmpI�F4Leltotde[Btama Ovmer.P.f�oa�:N'v�m+ier, i <br /> Fee Slmple TiUeholder Address <br /> JOBADDRESS �Q02�}-z.�Q Pc�vK-I�iil7evracp h r.F�33SyZ LOT# � <br /> SUBDIVISION �QYKI`11II 'E�'4� PARCEL ID# �-ZIQ�Z���- (»�Cv—pOl� <br /> (OBTAINED FROM PROPERTYTA7(NOTICE) <br /> WORKPROPOSED � N TALLSTR� R�PAIRT � SIGN Q Q DEMOLISH <br /> Pa�oPos�o,use >d .s� �] con�n� .,� or��t ; <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �n LZ {nQ{r�U� <br /> BUILDING 5�2E SQ FOOTAGE� HEIGHT �� <br /> BUIL�ING S� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRlCA6 $ AMPSERVICE �. PROGRES&ENERGY � W.R;EG: li <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � e � e.r • <br /> �BUftUER .G"Ui1�P1k'N'i 1"Q;��. JC. K V1G � <br /> SIGNATURE REGISTERED ((YJl N � FEE CURREp N <br /> Address � l�t � �(� � ,• License# l.-lJC_� ( c3`-( <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> PLUNIBER COMPANY � <br /> SfGiYATURE REGI3TERE� Y/N' ' FEE CURREA Y(N'� � <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REOISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE a�cisTERen Y 1 N .�E.clmaEn Y J N <br /> Aildress License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construcUon, <br /> Minlmum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stortnwater Plans w/Sil[Fence(nstalled, <br /> Sanitary Facflities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Buildfng Plans plus a Life Safery Page;(1)set of Energy Fortns.R•O-W Permit for new construction. <br />� Minlmum ten(10)working days after submittal dete. Requ(red onsite,Construction Plans,Stormwater Pians w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permif for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br />' ""PROPERTY SURVEY required for all NEW constructlon. <br />' DiredFons: <br /> FptoutappCcation compfe[efy. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement is requlred. (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 same <br /> OVER THE COUNTER PERMR'fING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on publlc roadways..needs ROW <br />