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City of Zephyrhills Permit Application Fax-813-780-002 <br /> Building Department <br /> ' . <br /> Date Received Phone Contact for Permitting <br /> I IL <br /> er <br /> Owner's Name Owner Phone Numb <br /> c co Po"bK Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ouomvmauzN PA@CELnz# <br /> (-_—_FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED mamo)msm AoDLT F---1 S|GN [--� �—1 DEMOLISH <br /> \ INSTALL R <br /> �REPAIR <br /> PROPOSED USE �--1 � aFR F—� COMM [—�—| OTHER <br /> TYPE OF CONSTRUCTION BLOCK �—1 FRAME �---1 8TEEL F--� <br /> OTAGE <br /> [--7BU}LD|NG V�LUAT|DNOFTOTAL CONSTRUCT0N <br /> F--lELECTFVCAL AMP 7--1 �RD���DGENER8Y |--\ ��Fi�C. <br /> �__' <br /> =PLU| |NG <br /> F--7�E�HANk��L �A�iNoTALL�T�N <br /> `__� VALUATION' — — <br /> cob <br /> [--�GA8 ���' FK]VFiNG [�l SPECIALTY | | OTHER <br /> ���� ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [__]YES NO <br /> BU0oER COMPANY L I Lr�,C, <br /> amNxJuRE REGISTERED LI/ N ] '�cvnnc^ LILN_j <br /> xd4"emo Uonnsn# <br /> ELECTRICIAN COMPANY Ls��afa F/erfQ_ C <br /> SIGNATURE nEoxSTenso LYl N psecunnsN LY2_N_I <br /> Address Linamee# <br /> PLUMBER � COMPANY <br /> SIGNATURE F c, ��/�ERED UyN ] 'rEEcunKit^ D LN -J <br /> Address License# <br /> MECHANICALFSIGNATURE N_J pEscunns^ —= <br /> Address � Licenne# <br /> OTHER COMPANY <br /> SIGNATUREREGISTERED [�N ] �scunnE^ �Y�� <br /> E) <br /> Addrmss 13 14 3 Npla License# <br /> xxxmmxxxxmmxxxxmxnxxxxxnuuu 1111111111n111111x8m � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(1o)working days after submittal date. Required unsdo.Construction Plans,S\onnvater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81dumpster;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(18)working days after submittal date. Required nnnite.Construction Plans,G0onnvater Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must-me6t compliance <br /> SIGN PERMIT Attach(%)sets of Engineered Plans. <br /> °°°°PROPER[Y SURVEY required for all NEW construction. - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$zuoo'a Notice nr Commencement iarequired. yVc upgrades over$7nVo> <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 /> Remufs if shingles Sowers Service Upgrades A/C Fenmm(P|oUSumoy/Footagd) ` <br /> Driveways-Not over Counter ifon public madvways..noedoROW <br /> ^ <br /> ' <br />