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813480-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> BulldingZapar went <br /> Date Received' Phone Contact for Permittln <br /> S <br /> a—e—u <br /> Owner's Name � O�Vner.Phcne Number.. <br /> Owner's Address <br /> � Owner Phone Number <br /> 'ree virii73@ o rat6ei�oioer i aaro Owner Phone Num or I <br /> Fee Simple Titleholder Address <br /> DOE i2D§3RESS ... 16LO`Y 0 <br /> SUBDIVISION PARCEL Ito <br /> IOaTAlA1CD'ti>Z064 RRflPEi%TY'iG:(MD�'1GGp' . <br /> WORK PROPOSED NEW CONSTR® ADD/ALT ® SiGN ® ® DEMOLISH INSTALL � REPAIR <br /> PROPOSED USE SFR Q COMM ®' OTHER <br /> iYPE OF CONSTRUCTION � BLOCK, � ..FRAME STEEL: ®. <br /> DescmPTIOA1 DP WORK <br /> BUILDING 317-E SO FOOTAGE HEIGHT <br /> BUILDING N <br /> cbL VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE � PRO.GRESS.ENERGY w.R.E.C. <br /> =PLUMBING - $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i <br /> =GAS ROOFING SPECIALTY OTHER, <br /> FINISHED-FLOOR.ELEVATIONS. FLOODZ014B.AREA YES- NO. <br /> .— -- -,9 -- - : ,: - - - <br /> ^17 <br /> BUILDER MPANYt4N <br /> Q <br /> SIGNATURE � REGISTERED FEECURREP / <br /> Address License# �— <br /> ELECTRICIAN ccxl JPmY <br /> SIGNATURE REGISTERED YI R. L TSEcuMIE YI:N <br /> Address -- License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address Licens©'� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGiSTEREDi Y/ .N •FEE CURREA Y/N <br /> Addreen License A <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED L_YL N j FEE CURREN <br /> Address 1icense-t, <br /> fiI1D19tOttlltltt. DDiiDi9DD ➢ Dttt ➢ 6. D ,➢ DI ➢ ➢ I ➢ ➢ ➢ ➢ 11 ➢ ➢ ➢ ➢ 1 ➢ ➢ 8 ➢ 019 ➢ 811 ➢ 11 ➢ I ➢ fl1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set.of Energy Forms;R-O-W Permit for new.construction,., <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsliarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans-plus a Life Safety Page;(1)set of Energy Forms.R-0=W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects:Ali commercial requirements must meet compliance <br /> SIGN PERIAT Attach j(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required:for,all NEW construction. <br /> .�„-•--�F 'l__fl �,_...-A....n__iL.IL._'L. Cl.,- _.u--il-.R..-rtJLs t._nJt._n�l_nn—n_o_.fi.,r n_sue_n_n <br /> Directions:n <br /> Pill out application comp"leldly. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2E00,a Notice of Comm-encernen't Is eiOulred. (AIC upgrades over$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone-with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/SUNoy/Feotagi) <br /> i 1AV0 QVG,-N0k over Coun'tev;I on PWZ;4 o roachweye..sseede RQS�f <br />