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\ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaRment <br /> r � <br /> Date Received ��7 _ CS� <br /> Phone Contact for Permittin � <br /> 7-TI rrT <br /> Owner's Name l I I 'l,��.�l G( Q Owner Phone Num6er ( '� ,� — V 2 <br /> Owner's Address �.+/l.�Cl� �ve. h ���l'btvner Phone Number <br /> ����� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS ��7�� ��-Q.I � Z h �J`�� LOT# � � <br /> SUBDIVISION e+ � �� PARCELID#U3'���I�u���V�CCD � �aa� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED n _ NEW C�NSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> �� INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FR,4ME � STEEL Q <br /> DESCRIPTION OF WORK C C �CLL- Q�IC� C I� ' •I , �Z� k�d�\^, 'rV�� .�� IXFl���Ua�� <br /> 0 Ot�ot��-tk w�vk, �p�4C-H�to�l <br /> BUILDINGSIZE SQFOOTAGE HEIGHT w � n-L'1rJ �iSCOY�YL4.�S <br /> � <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ECECTRICAL $ �/-� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �J�� <br /> �PLUMBING $ � <br /> �'MECHANICAL $�� �� VALUATION OF MECHANICAL INSTALLATION �/�� <br /> OGAS Q ROOFING Q SPECIAL'IY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �V� <br /> BUILDER - 9M2AN��—— -�--t,�� ---�— <br /> SIGNATURE i� REGISTERED Y N FEE CURRE� Y/N <br /> Address /J�/ ��t� J 7�3 License# ��� - C� <br /> ELECTRICIAN COMPANY ��l � �C�+!V 1��� <br /> SIGNATURE l REGISTERED Y N FEE CURRE� Y/N <br /> Address �j�S � �)T G�L� .�Y4�d��E[-�+�"I ��Zd-� License# E C I�D a Z�r�-/2 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � � COMPANY �L n�� � �CS7� <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address l f �7'G�� ! ����3 License# ` � �0�;7 u J�J <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> (��'� � � i � � � � � � � i � i � ii � ii � i � ei � � i � � ii � i � � � � � � i � � i � i � � � � � � � � � � � � i � i <br /> " R SIE DENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConSWclion Plans,Stomtwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects I <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new construction. I <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance � <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. I <br /> ""PROPERI'Y SURVEY required for all NEW construction. I <br /> Directions:' ' <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice oi Commencement is requlred. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Piof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />