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SEP/15/2008/MON 03:30 PM ZEPHYRHILLS BUILDING FAX No. 813 780 -0021 f , / I P, 001 <br /> • 813- 780-0020 City Of Zephyrhills Permit Application y Fax -813- 780.0021 <br /> Building Department • Date Recelyed . • . Phone Contact for PermItti , . ' _ . • • -- , • • <br /> /� - ' 1 O f ht Ll S Owner Phone Number <br /> Oyuner's Name t �✓ Y <br /> Owner's Address . • 1 77 2 6 // y � v e • Owner Phone Number I • I 1 <br /> 6 <br /> Fee Simple Titleholder Namel • Owner Phone Number I <br /> Foe Sim le Titleholder Address • . <br /> P <br /> Z i 1/.e D l v im ' LOT # 1 . ( . <br /> JOB ADDRESS , <br /> .SUBDIVISION. • • 1 . PARCEL ID#L <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I • NEW CONSTR , ADD /ALT n SIGN I MOVE n • DEMOLISH . <br /> INSTALL • . • REPAIR <br /> PROPOSED USE' . . n SFR . • • . COMM n OTHER I , I <br /> p(PE Of CONSTRUCTION n BLOCK . • . n • , FRAME ' .1 STEEL n OTHER I 1 <br /> • <br /> DESCRIPTION OF WORK • . N Z) 5>►4 /0 /e • k - eS '4,e__ . /7 () ti 1 .4cs <br /> . <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT 1 <br /> I BUILDING IS VALUATION OF TOTAL CONSTRUCTION <br /> [] ELECTRICAL AMP SERVICE 11 PROGRESS ENERGY - n W.R.E.C DO .00 <br /> ED PLUMBING IS <br /> • Q MECHANICAL $ • VALUATION OF MECHANICAL INSTALLATION • <br /> (-I GAS (l ROOFING 1 I SPECIALTY I — { OTHER , • <br /> FINISHED FLOOR ELEVATIONS • . FLOOD ZONE AREA []YES • • I INO <br /> • <br /> COMPANY I • • <br /> BUILDER t • SIGNATURE REGISTERED I Y/ N I FEE CURRENT: I . Y / N I <br /> Address I I • . ' Ucense # I <br /> ELECTRICIAN lib, COMPANY I DtLer4' /�� E 1& etc_ 1-i• C <br /> . SIGNATURE . REGISTERED • I YIN I FEE CURRENT ' I Y / N I <br /> Address 1 1* 26 NO / ` a_zill z ,4 1 fr'lf4 33tQ r Lf • License # I EC c 0 2-7 I? <br /> PLUMBER • . .COMPANY <br /> . SIGNATURE . . REGISTERED I Y / N I • FEE CURRENT . I Y / N 1 <br /> Address I • • . . . • • • . . 1 License # 1 1 <br /> MECHANICAL COMPANY 1 ' <br /> SIGNATURE ' . REGISTERED I Y / N 1 FEE CURRENT I Y 1 N I • <br /> • <br /> Address 1 1 , Ucense # . I • . <br /> aTNER COMPANY 1 <br /> • <br /> SIGNATURE . • • REGISTERED I . Y / N I FEE CURRENT I Y / N I <br /> Address I •. • • I . • License # [ <br /> • <br /> RESIDENTIAL • Attach (2) Piot 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, Stormwater Plans w/ Slit Fence Installed, <br /> Sanitary Facilities 8 1 dumpster, Site Work Permit for subdivisions /large protects <br /> COMMERCIAL • • Attach (3) complete sets of Building Plans piths a Lite Safety Page; (1) set of Energy Forms. R-Q-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence 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 /> • Flit out application completely. • • . ' • • <br /> • <br /> • Owner•& Contractor sign back of application, notarized . <br /> If over $2500, a Notice of Commencement Is required. (A/C upgrades over ;5000) , <br /> • <br /> * Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same - <br /> OVER THE COUNTER PERMITTING (Front of Application Only) • <br /> Reroofs Sewers Service .Upgrades • A/C Fences (Plot/Survey /Footage) , <br /> DriyeWaye Not over Counter If on public roadwaya.:neede ROW • . <br /> • <br />