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Fax-813-780-0021 <br /> 8•t3-78"020. city of Zephyrhills Permit Application <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ir <br /> Owner's ( Owner Phone Number <br /> Owners Address J 94P 16 ` �v Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -ge 7 d f GL LrG " LOT# <br /> SUBDMSION PARCELID# fD t7�I G' (Pf✓' ©CY �b55D <br /> IgBTAIHEO PROTA PROPERTY7AX NgT(CEl <br /> WORK PROPOSED NEWCONsrR}� ADDIALT" �_ SIGN Q CJ DEMOLISH <br /> INSTALL J_j REPAIR <br /> PROPOSED USE Q SFR Q COMM . Q OTHER <br /> TYPE 4F CONSTRUCTION0 BLOCK- Q FRAME STEEL 1 <br /> DESCRIPT.ON OF WORK" LDS a G . E?�G Q r� D/\I • ��p <br /> BUILDING SIZE �� SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL Is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QF'LUMBING S <br /> 'ECHANICAL S per+ VALUATION OF MECHANICAL INSTALLATION <br /> =oks ROOFING SPECIALTY L_, OTHER <br /> FINISHED rLOOR ELEVATIONS � FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE_ REGISTERED I YIN I FEE CU(r'tli�En'�Y!N <br /> Address License#{ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address (License# <br /> PLUMBER COMPANY t 1 <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y I N <br /> Address �~ _— _._—� / /.rlY-License#.r ( ��11 <br /> MECHANIC AL �r y '1ijj,( COMPANY +CtrT4 J ;;1W4E- AS Y .r=.J <br /> SIGNATUF ri/!� j 9 v REGISTERED Y/ N FEE CURREN �,Ll N / <br /> Address License#�T3R_L y i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y J N <br /> Addre:s License#F7 <br /> i1L! ! ! lliihi'ii1"11 / 11'1 ! C!"!'! ! !'! l1 / 1I1.I / llil / t !-1 ! lI111I111111111111111 <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,Stormwatei Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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 construction. <br /> Minimum ten(10)working days after Submittal data. Required onsite,Construction Plans,Stormwater Plans W/Sift Fence installed, <br /> Sanitary Facilities:&1 dumpster..Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERIVIT Attach(2)sets of Engineered Plebs. <br /> -PROPERTY SURVEY required for all NEW construction. <br /> 46" <br /> Directions; -.' <br /> Rif ou.application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over.$2500,a Notice of Commencement is required, (A/C upgrades over$7500) <br /> Agent(for the contractor)orPower,of Attomey,(fortthe owner)Would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING of contract r x <br /> (copy egtiired) - <br /> Reroofs if shingles' Sewers Service Upgrades A/C"' Fences(Plot/Survey/Footage) <br /> averCe`. hDrlvek aysNot tr public roadways..needs ROW <br />