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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> ; � : Building Department <br /> � " <br /> Date Received ����f f '� phone Contact for Permitting '� �%.3 �� `l — ��%L <br /> Owner's Name C��`�d �//�,�V�91� Owner Phone Number �/.� '-J 7�% --��%U <br /> Owner's Address � ��j �,.9 /L�6� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ! �/� �A`/ /v�, �� �� 2��//S, �� 33s v 2 LOT#� � <br /> SUBDIVISIOId PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B .. NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL �REPAIR <br /> PROP,OSED USE Q SFR Q COMM � OTHER <br /> 7YPE'OF COtdSTRUCTION Q BLOCK - Q FRAME 0 ST,EEL Q <br /> DESCRIPTION OF WORK (i(//��� /¢n�j���� 1(, �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT • <br /> �BUILDING $j���r �� VALUATION"OF TOTAL CONSTRUCTION <br /> •.�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ I✓�`1LlL 5����`� ��� <br /> ��� <br /> .. � � `-�1 `r !sl� <br /> QMECFiANICAL $ VALUATION OF MECHANICAL INSTALLATIOiV <br /> ����� ��1 <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � . <br /> � ,7� <br /> FINISHED FLOOR ELEVATIOfVS FLOOD ZONE AREA QYES NO � �.�r��� <br /> BUILDER �. COflAPANY '��7`f�•+-���� �O/vS/f�LL/6IV ,�.iV <br /> SIGNATURE REGISTERED Y"/ N FEE CURRE� Y/N <br /> Address 77�g �`6 � ST �� ?��il 5 f�3 S`/v ��icense# <br /> � �(j cf 't,-.t,5 � ��-C . <br /> -"'ELECTRI,CIAN COMPAIdY � V <br /> SIGNATUitE REGISTERED Y/ N FEE CURRE� Y/N. <br /> � • c�i ZzZ� <br /> � Address - License# <br /> PI:UMBER.,, COAAPANY <br /> �SIGNATURE REGISTERED Y�/'N� FEE CURRE� Y/N <br /> Address License# <br /> MECHAIdICAL' . COhAPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURRE�- Y/N � <br /> �;aa�es��� � ' Licens.e# <br /> ,;j�. � .... _- , <br /> �OTHER�' '�:'„� , , . COWIPANY <br /> � SIGNATWRE;i�-�� .° - - • ' - RE�isTERe� Y/ N FEE CURREK , Y/N <br /> •Address'��.. - - - ' ' ' License# <br /> .�. - . - <br /> "�RESIDEN7'IAL°,°,. -Attacfi;(2):Plot P.lan's;(2�)�sets�of�Building�Flans;(1�)`set ofEnergy'F'or`rris;:8;0,=V11.Perrriitfor new.constiuction, ` <br /> 11:�;;_,;,?,;,„ -,:Minimum;ten�(;10),iniorkings:days:afte�,submittal>date:`Required`onsite;Construotion Plans;Stormvirater Plans w/Siit Fence installed, <br /> _ �'" � Sanita.ry.;Facilities�&��1;.dumpster;_Sife;WorkP.ermitfoc.subdivisions/large`projects '= - <br /> "iCOMMERCIAL AttacFi�`(2)'cortiplete`sets`of'Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construcUon. — <br /> � " Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> - Sanitary Facilities&1 dumpster._Site Work Permit fo�alF�new projects.All commercial requirements must meet compliance <br /> • SIGN�PERMIT `Attach'(2)sets of:,Engineered F'lans.�� �-•� � � <br /> """,PROPERTY SURVEY required for..all MEW constniction. <br /> :Directions: ,. , .. • � <br /> '� Eill out:application completely. <br /> � Owner&Contraotor sign.back of application,notarized <br /> If.over$2500;a Notice.of Commencement.is required. (AIC upgrades over$7500) <br /> ,;�,:>..�.,...�;d <br /> "� AgenY(for:th"e•cantractor)'or°Power of'Attbmeyr(for'tFie owner)would be someone with notarized letter from owner authorizing same <br /> ':'OVER.THECOUNTER`�PERMITTING. (copy..of-contract•required) � <br /> ;;Reroofs if'sliingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..neeiis ROW <br />