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-'- '--~--- Lity ot Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact-for Permitting <br /> Owner Phone Number <br /> Owner's Name Inc— <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESSLOT# FF/` <br /> suBox/mxzN " &�ARCE �# 0 Jq0 00 ID(7) Go VN ItAFt L <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mawcomsm AoO6ALT [---� S\GN [--1 �--1 DEMOLISH <br /> El' <br /> INSTALL F_] REPAIR <br /> PROPOSED USE �—� SFR �-7 COMM �--� OTHER <br /> TYPE OF CONSTRUCTION E-2— BLOCK �—1 FRAME �---� GTEEL F--1 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE aQpoo7vxz����_l�[���`' nE|onT <br /> =BU|LD|NG VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTR!CAL AMP SERVICE F--� PROGRESS F--1 VY.R.E.C. <br /> Coo <br /> F--lpLUMB|NG <br /> / . <br /> =MECHAN!CAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAG F7� ROOFING �—| SPECIALTY �--� 0THEIR <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEa NO <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> aulLosR 0.7COMPANY 7 <br /> SIGNATURE REGISTERED `-10 rseouxnEN ['1)qN_] <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE nsa/orsnso I N I` reEconnEx <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE nsa/arseso 'psstUpmsN I —YIN <br /> � <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE nea/orsaso <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE uce/ovssso - <br /> YIN —1 <br /> /�W,esmU Tq G S73 Um,noa# I cc <br /> u x u 1Jx n x n I 8 I <br /> RESIDENTIAL Attach(2)Plot Plans; sets of Building Plans;(1)set nf Energy Forms;R'O4w Permit for new construction, <br /> Minimum ten(1O)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large 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(1U)working days after submittal date. Required ons|to.Construction P}ons.Shormwetar Plans v/Silt Fence inataUad, <br /> Sanitary Fad|�ao81 dumpa�c Site Work Penn�for all new pn4 �a� .All commercial <br /> requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets nf Engineered Plans. <br /> °^°°FROPERTY SURVEY required for all NEW construction. ' <br /> Fill out opp|\catiuncompletely. . <br /> cxwnor&Contractor sign back mfapplication,notarized <br /> 0 over$zao0,aNpUoo of Commencement im required. (A/c upgrades over$7oVo) <br /> Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Ramofs if shingles Sewers SerVioeUpgnadao A/C Fonueo(P|o0Sumey/Fodaga) <br /> Driveways-Not over Counter if on public roadvmayn..noeds ROW <br /> i . <br />