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81&780-0020 City of Zephyrhills Permit Rpplication Fax-813-780-0021 <br /> Building Departrne�t - - <br /> , Da4e Received + � <br /> �" � Phone Contadfot PermiBin 3 � ��� <br /> Owner's Name {� � ��i�er Phane Number q��d ! / <br /> Owner's Address '�l Z� SW 1 ` a.,l S � • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpte Titleholder Address <br /> JOB ADDRESS V LOT# � <br /> SUBDIVISION PARCEL IDp <br /> (OBTAINED FROlA PROPERTY TAX NOTIC� <br /> WORK PROPOSED e NEw CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q/ FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �M� �� (L IIr G��G'T�I G�1 �� Q 11� hGW I 1V G� <br />' BUILDING SIZE SQ FOOTAGE � V HEIGHT � ���a��yl,r� _1__ `j �LJ <br /> T f1TTPTTn�TRT� r! 1 7 7 T 1 ITe 7�4�i'1��f 1�����'�'z � <br /> �BUILDING $ ig DOO VALUATION OF TOTAL CONSTRUCTION ��� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � I�/� �(J J/ � <br /> � 1. <br /> l/`�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR EL FLOOD ZONE AREA QYES NO� <br /> BUILDER � C M� h�� LS ��� �Q�,�v 11l^ ,'" L,` <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address � � �r� License# V(��—r�� <br /> I ELECTRICIAN n - — ��f� � COMPANY � ���«' � <br /> SIC�NATURE 1`�'� lW REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# C 0� �7 <br /> PLUMBER ��,» ���� "y"'�"+�\ /�^�� COMPANY Ct C�(,sor1� vrnbtv� � <br />, SIGNATURE v'�� "l5/ REGISTERED Y/ N FEE CURREA Y/ <br />� Address License# <br /> /', �,i q_i� <br /> MECHANICAL �/�� � COMPANY IIr W n��O Y1� � ���j "�J �C�'�C� <br /> SIGNATURE � � rtEGiSTEr�o Y/ N FEE CURRE� /N �/ ._ <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE �cisrEa�o Y/ N �e Cuw�n Y/N <br /> Address License# <br /> Illllllllltlllllltllllllllllllllltllllltllllllllllltlllltllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 7 dumpster,Site Wo�1c Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal dale. Required onsite,Conshuctian Plans,Stortnweter Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster.Site Work PermR for all new projecls.AII commercial requirements must meet compiiance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcfion. <br /> Dlrectlons:• <br /> Fill out application completely. <br /> Ovmer&Contrac[or sign back of app6cation,notarized <br /> If over 52500,a NoUce of Commencement is required. (AIC upgrades over b7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)vrould be sameone with notarized IeHer from owner authorizing same <br /> OVER THE COUNTER PERMITIING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />