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_ - ;,,, 813-780-OD20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Recelved Phone Contact for Permitting 13 , 7a2 -- �Q zo <br /> l' <br /> ' Owner's Name i'QY� �• ��^� Owner Phone Number <br /> Owner's Address � J�!�(i M�C��� <br /> I'�VQ��� W 3 Owner Phona Number <br /> Fee�SiTnpl¢.:7iflelto{dec Plame,.., Owr�eeP..Hone.Nian6ee <br /> Fee Slmple TiUeholder Address <br /> JOB ADDRESS ��— O Q,Y�YI I I TeYlr V(�•ZTJ�1`,.S �J LOT# � <br /> SUBDIVISION �QYKY1 i I�` YCLCk PARCEL ID�! C7L-Zlsz- 1-CX�-O'a800- t C� <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e IN TALLSTR e REPAIRT Q SIGN Q Q DEMOLISH <br /> -PROFUSED iiSE ;� SFR Q CONtPJI .:� �07HEF2 � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL O <br /> DESCRIPTION OF WORK ;.lr 1 I �.. �e.{r(�' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELEGTRIGAL $: AAMSERVICE. � PROGRESSENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> Bt1iL'DER `'. �� -COMPAMY . (�� ���'j' � <br /> SIGNATURE REGISTEREO / N FEE CURRE� /N <br /> Address �Q�{ C�� �� Z�a� �c�� License# �C�S�j�� ' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRE� Y(N <br /> Address License# <br /> PLURM1BER. Cp�{pp�y <br /> S(GiNATURE a��sreaEp- � Y/N�'. ^ FEE CURREA '�Y/N- <br /> Address License# . <br /> MECHANICAL COMPANY <br /> 51GNATURE REOISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY " <br /> 516NATURE REGI5TEI�D Y/ N t��utzReh Y/N <br /> �Addreas ''� <br /> 'Lacenseyt� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11111Illlllllllllllt111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcdon, <br /> Minlmum ten(10)working days after submittal dete. Required onsite,Construction Plans,Stormwater Plens w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Slte Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attech(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Mlnimum ten(10)working days after submittal date. Requfred onslte,Constructlon Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERN SURVEY requfred for all NEW construcUon. <br /> - tia� <br /> DErecttons:-• <br /> Flf out appfication.completefy, <br /> Ownar&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over$7500j <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized fetter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of conVact required) <br /> Reroofs if shingies Sewers Service Upgredes A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />