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813- 780-0020 City of Zephyrhills Permit Application Fax -813- 780.0021 i% <br /> / r �. // ` Building Department <br /> Dab Received / Q2 / / Phone Contact for Permitting 1 (]I ` OS - 1111 • 1 /) q 3 <br /> Owners Name I I V l_l,' C L Owner Phone Number Si?, • 1S' 3' / <br /> Owners Address 1D <br /> � a i Owner Phone Number 1 I <br /> Fee Simple Titleholder Name I t ' t Owner Phone Number I — <br /> Fee Simple Titleholder Addeo.. 1 j <br /> JOB ADDRESS I BIZ lldw N Q TA vd l 1 I LOT # ( <br /> SUBDIVISION M ShC s PARCEL ID#IZT'2- CO lob- to96 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED LJ NEW CONSTR C ADD/ALT r� SIGN = r i DEMOLISH <br /> INSTALL L REPAIR <br /> PROPOSED USE EQ.''' SFR = COMM 1 ---- 1 OTHER I 1 <br /> TYPE OF CONSTRUCTION ' fl BLOCK Q FRAME I ] STEEL r I !iTl a R�Ir1• <br /> DESCRIPTION OF WORK (T 1 ec own V t I <br /> BUILDING SIZE 1 ] `f , X 37 <br /> SO FOOTAGE ( HEIGHT I <br /> r BUILDING $ VD VALUATION OF TOTAL CONSTRUCTION ' q eb oD <br /> LAJELECTRICAL IS I AMP SERVICE r ENERGY Q W.R.E.C. <br /> 1 $ <br /> r ECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION <br /> r,GAS = ROOFING Q SPECIALTY I ] OTHER <br /> IO <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA =YES NO <br /> BUILDER <br /> IGNATURE J _ - � COMPANY E.� I WIRE", 1 �! t IJ .. / R <br /> I EGISTERED IC FEE W`/ n l <br /> Address I aio' 1 N W lc3rd A11t._ N �.. License # I ti-k1 t il b 1 <br /> ELECTRICIAN /21 i �/ �. t C COMPANY I . `A y - - ' P <br /> SIGNATURE l �(� _ (l (� REGISTERED I ?ER FEE CURREI' (`all. <br /> Addree. I ` 1 1 3 6 S 1 - 1 I te.n e d . Z License# I E L3 i7Q I I <br /> PLUMBER c /1C-:-.1- COMPANY _ I & I 0 I 5 OINK <br /> SIGNATURE / -� REGISTERED <br /> 1't • 11 O t.J (tad n� �� � FEE CURREX 1.67i1111 Address I tirn (tad Ar . .1t+t.f IN1 . 1 License I � G 1 <br /> MECHANICAL 6 t I 41 COMPANY <br /> SIGNATURE REGISTERED Ai FEE CU Eh. I / N <br /> Address OUNTAL. Mil License It <br /> SIGNATURE <br /> -■ COMPANY 1 I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N <br /> Address I 1 License */ I 1 <br /> IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required orsae, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constriction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> SIGN PERMIT S S (2) sets of Engineered a nita F1 dumpster. Site Wok Permit for all new projects. All commercial requirements must meet compliance <br /> () Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> Hover $2300, a Notice of Commencement Is required (NC upgrades over 87500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing sane <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />