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�_�. City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , • _ ,,, Building Department <br /> DateReceived PhoneContactforPermitting v�3 �DZ - d�2� <br /> Owner's Name h � 1-e�"r• �� Owner Phone Number <br /> Owner's Address � 5��'(ll.�w�G�'�1����338U Owner Phone Number � <br /> Fee Simp[eTiffeFioldec-l�tame Ownee Phorxe tVtimbeF <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS �2.0�-32 (�,�h�111�eYv.Z�pt� 335L1Z �oT� � <br /> SUBDIVISION �Y�IL�I ��..� PARCEL ID# �-�Z���"��"�3�"' ��O <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORKPROPOSED NEWCONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP.OSEO USE SFR � Gply(UI � {3�1C�2 : <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �h�t1 l� If ercoF <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br />� BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRfGAL $• AMP9ERVICE- � PROGRES&EP3ERGY �: W.FZ:E.C. <br /> OPLUMBING $ <br /> I OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br />' ' -8U1LflER �COMPANY 1 �-L� y�R <br />' SIGNATURE REGISTERED N FEECURRE� Y N <br /> Address Q �;`0.l 1����f �� Lfcense# V-�� ��V-F <br /> ELECTRICIAN � COMPANY <br />� SIGNATURE REGISTERED Y/N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNkTURE REGISFEREO. : Y/ I�? ? FEECURREA- Y/N- ' <br />, Address License# <br />� MECHANICAL COMPANY <br />� SIGNATURE REOISTERED Y/ N FEE CURRE� Y/N <br />', Address License# <br /> OTHER COMPANY <br /> SIGNATLRE REGISTERED Y i.N FEE:ctmiten Y l.N <br /> Addrese Llcense it <br /> i � � iiii � � � � � i � � ie � i � i � � iiii � ii � i � � � i � ii � � iii � iii � � iii � � � i � � i � � i � � � i <br /> RESIDENTIAL Attach(2)Plot Plens;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittel dete. Requlred onsite,Construction Plans,Stortnwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)compiete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence ins[alled, <br /> Sanitary Facflitles 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"•PROPERN SURVEY raqufred for all NEW construcUon, <br /> LIL� L11 ILR C IIJI <br /> Oireet�ons:• ' <br /> FilEoui'apRGcaCwn.compleTely. <br /> Owner&'Contrector sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the coniractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Servica Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />