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� � <br />;�, ` <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Bullding Depadmenl <br /> Date Recelved � <br /> �-�--�-�-�--r Phone Conlact for Permittin <br /> i -- <br /> Owner's Name (-�.v� (��. Owner Phone Number �j^ � ^3� o - <br /> Owner's Address 1 �(�jlii`e� ('�� � ` 5 Owner Phone Number <br />; Fee Slmple Titleholder Name Ow�er Phone Numher <br /> i <br />( Fee Slmple Tltleholder Addresa <br /> II� JOB ADDRESS 5111� � 1���`$� , � 3 LOT M � <br /> t PARCEL IDq ��-d�p aI'D <br /> II SUBDIVISION <br /> - `� <br /> (OBTAINEO FR�OM PROPERTY T�TICE)DEMOLISH <br />� WORK PROPOSED e NEW cON57R ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> iPROPOSED USE Q SFR Q COMM � OTHER " <br /> i TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br />� DESCRIPTION OF WORK 1 l Y ft C.. !1C� <br /> i <br /> _ <br /> . _ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � . <br /> i ' TI�tTTT�TMTTI'!T�IT�`�TTt�I"f'1'.'fTIT7�T'7"rr}'1"fTTIT.TTrITT1�tTTrTTIT�� <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ '" AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br />� QPLUMBING $ ' <br /> I <br />� ' MECHANICAI $ ��D' � VALUATION OF MECHANICAL INSTALLATION <br /> I �. <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I <br />� �-f-L�1-�f�l�l-i�i-f�i-1-i-�i-i-' <br /> .-�:-C-i�1-L.�.1��'....'-i�S-i��1�d-1--{-f�1-1-f-1-�i-1--4-1-d-4-1-1-4-4�4-�4-1-i-f-f�4-4.b.:�;�.�. <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE REOISTERED �'/ N �FEE CURRE� Y/N <br /> Address Llcense N <br /> ELECTRICIAN COMPANY ' <br /> SIGNATURE REOISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY � � <br /> SIGNATURE REGISTERED Y/ N � FEE CURRE� '�'/�.J. <br /> Address License# <br /> MECHANICAL COMPANY I�r�r)�/; ,jeni`� P{ ()"t" pQ(�$Cn <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y I N <br /> Address y'� � � . 3353�j . License# �'l •g S � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N �FEE CURREA Y/N � <br /> Address - <br /> License# _ <br /> 11111111111111111111111111111�111111111111111111111111111111111111�11 <br /> RESIDENTIAL Atlach(2)Piot Plans;(2)sels of Building Plans;(t)sel of Energy Forms;R-O-W Permll for naw construction, <br /> Minfmum len(10)working days after submlltal dale. Requlred onsite,Conslruclion Plans,"Stormwaler Plans w/Sill Fence installed, <br /> Senitary Facllitles 8 1 dumpsler;Slle Work Permit(or subdivfslonsAarge proJecls <br /> COMMERCIAL Allach(2)complele sels of Bullding Plans plus a Life Safety Page;(1)se�o(Energy Forms.R-O-W Permit(or new conslruction. <br /> Minimum len(10)working days efter submillal dale. Required onsite,Construcllon Pians,Slormwaler Plans w/Silt Fence fnslalled, <br /> Sanflary Fecililles 8 1 dumpsler.Site Work Permit for ell new projecls.All commercfal requlrements musl meel complfance <br /> SIGN PERMIT Allach(2)sels of Engineered Plens: <br /> ""PROPERTY SURVEY requlred for ell NEW construcllon. <br /> DI ec~tl s'. '�:-�:-{-L-1-F�I..L�S+-:-:.S-C-3��-1-F-i-1-1-i-'.-'r�.:-1-�1-4.F4.�1�-1-{-.��'-C-:�-�. � . . � • �_'.-'T�-�-�- <br /> FIII oul applfcation completely <br /> Owner 8 Conlrecfor sign back of appllcation,qoterized � <br /> If over E2500,a Nolice of Commencement Is requlred. (AIC upgrades over 57500) <br /> "' Agent((or Ihe conlractor)or Power ot Allorney((or the owner)would be someone with nolarized letter from owner aulhorizing seme <br /> OVER THE COUNTER PERMITfING (copy of conlract required) " <br /> Reroots If shingles Sewers Service Upgredes A/C Fences(PIoUSurveqlFootage) <br /> Drlveways-Not over Counler If on pubiic roadways..needs ROW , <br />