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813-760-0020 ` <br /> City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permitting <br /> Owner's Name . Owner Phone Number <br /> Owners Address I I Owner Phone Number <br /> Faa Semple Titleholder Nme <br /> Fee Simple Titleholder Adtdress <br /> JOB ADDRESS Oq \J ��GA LOT.It INC 'P)- <br /> SUBDIVISION , •!P d Cti�(' PAROEL Ina <br /> JOSTAINED FROSI <br /> WORK PROPOSED { NEW C0145TR ADWALT [� SIGN PROPERTY TO ncE)DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE ' = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME L� STEEL = <br /> F <br /> DESCRIPTION OF WORK eLo —!;,E\ o <br /> BUILDING SIZE ? SO FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING (; $ VALUATION OF TOTAL CONSTRUCTION <br /> r <br /> =ELECTRICAL { S AMP SERVICE u po r.Pgcc crycary ,nu lA.P c rr <br /> GZPLUMBING !i $ 13t1 �-r•n Tp ��r���y,1 <br /> =MECHANICAL ( S VALUATION``_ --OF MECHANICAL INSTALLATION <br /> I• <br /> =GAS pp ROOFING = SPFCIALTY 1 1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER l COMPANY -� <br /> SIGNATURE REGISTERED I YIN FEE CURREt, L2LN <br /> Address k License it <br /> ELECTRICIAN f COMPANY <br /> SIGNATURE J Kt.IsTEAEU i T r N FEE CURREt. YI /N I <br /> Address License it <br /> b <br /> PLUMBER COMPANY <br /> SIGNATURE C �REGIS-T—ERIt37, FEECURREA Y r <br /> Address L 09 j� I 1 Like.�e e rr t21. �,SrL9 <br /> MECHANICAL COMPANY <br /> srcNATun6 Py 1-2. 1 Yf N ,FCC UURITZn YrN <br /> Address Eh I License OF- <br /> OTHER K COMPANY <br /> SIGNATURE k I REGISTERED I Y/ N FEE CURREP Y!N <br /> Address 77 License It <br /> 11111111111111111111111 (IIYIf1111111111111t111e1t1111111e ' 91t � � e � ttt � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conshuction, <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Storrnwater Plans w/Slit Fence Instated, <br /> Sanitary`Facilities&1 dumpster.Site Walk Permit for subdivislonsllarge projects <br /> COMMERCIAL Attach(2)complete ecto of Building Plans pluo a Life Safety Page:(1)set of Energy Forms.R-O-W Permit for new rnnstn.rlipn. <br /> MlNmuin ton(10)working day-,attar submittal data, Required onalle,Conctareilon Plano,Stormwator Plano w/Bill Ponce Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application co ripietely. <br /> Owner&Contractor sign back of application,notarized <br /> If ovor$2500,a Nottr of Commoncomont Is required. (A/C upgradee ovor Vsoo) <br /> Agent(for the contractor)or Power of Attorney(for the owner)viould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sei ers Service Upgrades A/C Fences(P!vvowvuyirootage) <br /> Drivoways-Not over C11 ounter if on public roadways.,needs ROW <br /> I <br /> I <br /> I <br />