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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780.00z1 <br /> Building Department <br /> Date Received <br /> J) / r . / <br /> Phone Contact for Permittr • / <br /> _ <br /> Owners Name Q. U. � 1 Owner � / Phone Number � � " / r — ■ 61 <br /> Owners Address 1 Owner Phone Number <br /> Fee Simple Titleholder Name I 1 Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> � �\� JOB ADDRESS s , q Q S �+- Q ph Q .n s . ci' j "� LOT M I I <br /> SUBDIVISION I hO f l p � l en I PARCEL ID* � � DI Q ` � /'1^ Q <br /> T (MANED PROM PROPERTY TAX ' NOME) <br /> WORK PROPOSED NEW CONSTR ADD /ALT 7 SIGN Q 0 DEMOLISH <br /> __ INSTALL REPAIR <br /> PROPOSED USE Aga SFR = COMM r OTHER I 1 <br /> TYPE OF CONSTRUCTION Y BLOCK 0 FRAME r, STEEL = I I <br /> DESCRIPTION OF WORK e f .Uk,i t . ' 1 . I. I r I ` 51 / %y <br /> BUILDING SIZE I I SQ FOOTAGE 1956 HEIGHT ( PA te r , •-Q, <br /> 1-- BUILDING ($ C i L 5 I __NWLUATION OF TOTAL CONSTRUCTION <br /> — .t....kw _ AMP SERVICE n <br /> PROGRESS ENERGY Q W.R.E.C. <br /> r1 PLUMBING IS I <br /> =MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY r OTHER <br /> FINISHED FLOOR EL TIONS FLOOD ZONE AREA r1YES NO <br /> r <br /> �J H ON �D I - 1 Y / N �`4 hDO J1 I ` BUILDER ._( S3NNATURE FEE CURREN { / N ( <br /> L- - - <br /> .. _._ Llcena I ( C<< L3) - 1) CAS <br /> I I c:.---' I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 1 Y / N I FEE CLARE?, 1 Y/ N I <br /> Address 1 I License f/ I <br /> PLUMBER COMPANY I <br /> SIGNATURE <br /> newsman I Y/ N I FEE CIggEA 1 Y / N I <br /> Address I <br /> l License* <br /> MECHANICAL I I COMPANY I <br /> SIGNATURE REOIaTERED ( Y/ N <br /> I FEE CURREA 1 Y/N I <br /> Address <br /> 1 License if 1 <br /> OTHER COMPANY I <br /> SIGNATURE <br /> REGISTERED 1 Y/ N <br /> FEE CURREA I Y / N I <br /> Address I 1 License • I <br /> 11111111I111III1I11I111111111111 III 1111111111I11111111111I111111II1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of BuldIng Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days otter submittal date. Required orate, Constrtwtlon Plans, Stormwatw Plans w/ Silt Fence installed, <br /> COMMERCIAL Attach Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects () complete sets of Bulkiing Plans plus a Life Safety Page (1) Set of Energy Forms. R-O-W Permit for new constriction. <br /> Sanitary tan (10) & 1 diirm� alter submittal ne date. Required wane, Construction Plans, Stoma* Plans w/ Silt Fence installed, <br /> SIGN PERMIT Attach 2 ate et Engineered Site Work Pernik for all w projects. AM commercial requirements must meet compliance <br /> () gi eered Plans. <br /> ""PROPERTY SURVEY required for at NEW construction. • <br /> Directions: <br /> RN out application completely. <br /> Oman & Contractor sign beck d ns applicatlion, notarized <br /> If required. (A/C upgrades over MOO) <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 /> Rerocts W shingles Sewers Servbe Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />