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0 1 .s — i 2(v — 00-z'! <br /> 813-780-MO City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Reeehmd �_ `1 a Phone CoMaG for Permitting <br /> Owners Name J ,a C-s Owner Phone Number �3`ws- <br /> Owners Address 3 Slit I,e Df- Owner Phone Number <br /> Fes Simple Ma holds Name Owner Phone Number <br /> Fee Simple TMleholde Address <br /> JOB ADDRESS J ?i S4- 1-3e 2 JV1 va-e-n 7Z LOT# <br /> SUBDIVISION PARCEL ID/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ❑ NEW CONSTR e ADD/ALT ❑ SIGN ❑ ❑ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ❑ SFR ❑ COMM ❑ OTHER <br /> TYPE OF CONSTRUCTION ❑ / BLOCK ❑ FRAME ❑ STEEL ❑ <br /> DESCRIPTION OF W RK s S t c `� 1�J I ( S PQ L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ❑BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ❑ELECTRICAL $ AMP SERVICE ❑ PROGRESS ENERGY ❑ W.R.E.C. <br /> ❑PLUMBING $ <br /> tnMECHANLA-nONSFJ[D— <br /> VALUATION OF MECHANICAL INSTALLATION <br /> ❑GAS ROOFING ❑ SPECIALTY.❑ OTHER <br /> FINISHED FLOOR FLOOD ZONE AREA ❑YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I-Y/N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREI, Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREIN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREIN I Y,/N <br /> Address I O L, L° �e License# C�a l+ ✓ r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CORM I Y/N <br /> Address E License# <br /> F-1"I[-IT7-11 17 17-1-1 1 1'7 17"1 fit l-TiT l I I'll 111 1 1-1 l 1 i 11'7T7 1 T'1 1-T 1 1-TT T7-1-T7 11'1-TI <br /> RESIDENTIAL A Isch(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction <br /> --- ---- ---- - <br /> inimum ten 10)worldn0 days ettei subm�ttel tlate—RegOir`ed onalte;ConaGuotlo`n Plans,—Stainiwater Pierre�v/SlftFence Installed,---—-'-----"--'- - --- <br /> Rory Facilities&1 dumpater,She Work Permit for subdiviaionellarge projects <br /> COMMERCIAL (3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forma.R-O-W Permit for new construction. <br /> Inimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> n llhi ary Faces&1 dumpater.She Work Permit for all new projects.All commercial requirements must most compliance <br /> SIGN PERMIT ch(2)sets of Engineered Plans. <br /> ROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out applicalilm completely. <br /> Owner&ContrE ctor sign back of application,notarized <br /> ff over$2600,11 Nodes of CommeneemeM Is required. (AIC upgrades over$7500) <br /> Agent(for the tractor)or Power of Attorney(for the owner)would be Someone with notarized letter from owner authorizing same <br /> OVER THE COU R PERMITTING (Fmnt of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> DrInways-Nol over Counter If on public roadways-needs ROW <br />