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i 813�?80-0020 City of Zephyrhills Permit Application Fax-s�saso-oo2� <br /> Building Department <br /> Date Received p�p���ontact for Permitting O j,,� 1 - `77 G`?� <br /> 1 �c.l f �y�� <br /> Owner`s Name V`4 �'t. (L Owner Phone Number O� 7� <br /> Owner's Address C�q� � Owner Phone Number � � <br /> Fee Simple Titleholder Name �- � Owner Phane Number �— � <br /> . Fee Simple Titleholder Address <br /> � JOB ACIDRESS � � �� U� LOT# � <br /> !� SUBDtVtS10N �� � PARCEL ID# <br /> , <br /> i� (OBTAINED FROM PROPERTYTAXNOTICE) <br /> 1� YVORKFFROPOSED NEW CONSTR ADD/ALT � SIGM1i Q Q DEMflUSH <br /> (g e INSTALL 8 REPAIR <br /> PROPOSED USE Q 8Ff2 Q CtJMM [� OTHER <br /> �� TYPE OF CONSTRUCTION Q BLOCK Q FRAME [_] STEEL Q <br /> � - <br /> i!t DESCRIPTION OF WORK ��UV�OC„ r G1� ��'_ � � <br /> �I — <br /> �� BUiLDING SIZE � SQ F007AGE� HEIGHT <br /> 1 <br /> , <br /> �+ [�BUILDING �"> � VALUATION OF TOTAL CONSTRUCTION <br /> I� <br /> " QELECTRICAL $ AMP SERVICE � PR4GRES8 ENERGY Q W.R.E.C: <br /> i; <br /> �j <br /> 1! <br /> �PLUN18iNG �� � <br /> i <br /> ,,...,. � .....�� <br /> `' �MECHAN1CAl. � � VALUATION OF MECNAhlICA�INS7ALlATION <br /> � <br /> � �GAS Q ROOFING Q SPEClA�TY 0 OTHEFt <br /> ; <br /> ; FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES NO <br /> � <br /> ;� BUtLDER COMPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> � Address <br /> License# � <br /> d <br /> � ELECTRICIAN COMPANY <br /> � SIGNATI.IRE _ REGIS7ERED Y/ N FEE CURRE� Y/N <br /> � Address License# r— � <br /> �� PLUMBER (�, COMPANY C1a! CIVS 9 u1+' �I.J 1*N G <br /> SIGNATURE C REGIS7ERED Y/ N FEE CURRE� Y/N <br /> � Address `�� c�GR � ��-U� �{-cc�(.� � License# �}�^C- ����j ��� <br /> , MECHANICAL COMPANY <br /> i SIGNATURE REGISTERED Y J N FEE CURREI� Y/N <br /> i <br /> Address License# � �1 <br /> � OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ' Address License# � � � <br /> � <br /> - ,- -RESIDENTI.4L-----Attach{2}-Plot-P(ans;(2}sets-af Building-Plans;(1)set-of Energy Forms;-R-O-W-Permit-for-new-ca�rs•,ruction, - <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> � San3tary Facilities&1 dumpster,Site Work Permit for subdivisionsJlarge projects <br /> � COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUvction. <br /> Minimum ten(10)warking days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Sllt Fence insta!led, <br /> � Sanitary Facitities&1 dumpster.Site Work Permit for aIl new projects.A[I commercia(requirements rnust meef comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, � � <br /> ***'PROPERTY SURVEY required for all NEW construction. <br /> Directions: " <br /> ' Fill out application completely. <br /> Owner&Contractar sign back of apptfcation,notarized <br /> If over$2500,a Notice of Commencement is ree�uired. (A/C upgrades over$?500) " <br /> " Agent{for the contractor}ar Pawer of Attomey{for the awner}woutd be someone wtth natar+zed tetter fram owner authorizing same <br /> OVER THE COUNTER pERMITTING (copy of contract required)` <br /> Reroofs if shingles •�Sewers �-= �Senrice�Upgrades'i4(C;`"""'f;Fences{PloUSecrveylFootage} <br /> ti;�.;-'..i;:'�:1.',:"=t, :�.:t; ,":.e..�"�. �; <br /> Driveways-Not over Counter ifon public road'ways:.peeds ROW <br /> � �,�s� .:�:� .. ..- ;:�'_ � _._ . <br /> � . , , . _ a , , . • ,. , <br /> �� <br />