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' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ,Date Received phone Contact far Permittin D� 1 a2 — ��Z� <br /> •�waezsName �nrneMhoneNumher <br /> Owner's Adrdress p L ��h5�• Owner Ph"one NLmber <br /> Fee S�Yple Fittehalder iName I I Owner P"tlone iYumber l I_ I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �G W� ` I ,�" 1 � r 1�I LOT# � <br /> SUBDIVISION cSV�O• PARCEL 16# �Z-2lo-21- OO��`00?Ol�-�I'� <br /> �j08T/IfNEO-FROMPROPERMAX NOTICE) <br /> :1NORKPROPOSED NEW.�ODNSTR' ADD/ALT � �SIGN � Q DEMOLISH <br />' � 'INSTA�LL e REPAIR <br /> PIZOPDSED'USE d `SFR Q GDA+ItYI � DTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK ' 'C.f�W <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUICIIING � � �/^G}� VALUATION OF TOTAL CONSTRUCTION <br /> lJ.r <br /> ���L€�TRIk;AL I.^g. I AINP�ERVIGE �� Pfi�GR�SaEN�RG�N �� W.R:E.� <br /> OPLUM8ING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �J�� �r <br /> QGAS ROOFING Q SPECIALTY � OTHER <br />� �INiSHED�L66R�CEV/CT�ONS �L66DZONE AREA �YES �IO <br /> BUILDER ��(J/ ���7,��� COMPANY V1 `]I" ( � <br /> SIGNATURE I \.�`� REOISTERED N FEE CURRE� /N <br /> Address � - �1 License# � C7I U <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l.ice�se.#t ., <br /> �iiirvS�€r�i L`tiill�dYY,. <br /> SitGIVAT,Uf2E, l � f,�glsG�t�r YI'QVr' �Ev�zat� � 'YYt�r , <br /> Address License# <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> :Addteu liceose9/. <br /> �OTFIEFt ��COMPANY <br /> <SIGEJI�TURE REGISTERED °Y�.9 M FEE�CURREA Ys16+1 <br /> Address License# <br /> � � � � � � � � � � � � et � � � � � � i � � � � � � t � e � � � � t � � � � � � � � � i � � � � � � � � � � i � i � � � � � � � � i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertni[tor new construcUon. <br /> Minfmum ten(10)working days after submittal dete. Required onsite,Cons[ruction Plans,Stormwater Plans w/Silt Fence installed, <br /> =Ganifary.-�aci(ities&:1_dumpster.aSite:NLorlr�ermiE�foc_all nerepiojecis.�AlLcammeccial xe4uicemenismustmeet�compliance <br /> SIGN PERMR Attach(2)seis of Engineered Plans. <br /> ""RRflPERTI!SURYEK reqpired for.a!1'ryEW comstructloer. <br /> L11seLtions:• <br /> GdNanf appficaiion comptetely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> " Agent(for the contrector)or Power of Attorney(for[he owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of contract required) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foolage) <br /> 'D�+vewaysNOt oveYCouhter�if on public roadways:.aeedSRDW <br />