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City of Zephyrhills Permit Application Fax - 813- Thu-uvc i <br /> i1 , r2 <br /> 813-780-0 Building Department ` i <br /> Phone Contact for Permittin <br /> Received <br /> ................................. <br /> ■ ■ ■ ■ ............... '� so-A- , G_ � / Owner Phone Number <br /> ors Name f <br /> C O- , / , , . / _ Owner Phone Number <br /> per's Address <br /> Owner Phone Number <br /> Simple Titleholder Name 11111111111111111111 <br /> Simple Titleholder Address LOT # C2- X91/ Co ' cr "f �v 1 <br /> B ADDRESS / 9"-624 --o1-/- 006 -0062-00 - � <br /> _ J I/ . PARCEL ID# <br /> IBDIVISION (OBTAINED FROM PROPERTY TAX N E) DEMOLISH <br /> NEW CONSTR e ADD /ALT [� <br /> SIGN Q MOVE <br /> ORK PROPOSED INSTALL REPAIR <br /> M COMM Q OTHER Ell SFR =I <br /> (PE OF C USE BLOCK 0 FRAME [� STEEL Q OTHER [ a . <br /> PE OF CONSTRUCTION 0 au �� �- <br /> �ESCRIrTION OF WORK � 7 00 <br /> ' HEIGHT <br /> `D Y y0 SQ FOOTAGE <br /> IU ...... SIZE <br /> ............. <br /> BUILDING $ ? 040 i ■ VALUATION OF TOTAL CONSTRUCTION <br /> W.R.E.C, <br /> AMP SERVICE <br /> PROGRESS ENERGY Q <br /> ELECTRICAL <br /> PLUMBING <br /> VALUATION OF MECHANICAL INSTALLATION <br /> MIIIIIIIIII 130( MECHANICAL < <br /> SPECIALTY [1:1] OTHER <br /> GAS ROOFING FLOOD ZONE AREA AYES [1:11‘10 �� 'fir <br /> FINISHED FLOOR ELEVATIONS u 1 <br /> s t•-r � 0 i , mac, <br /> �� �i�l'�W� A" REGISTERED L <br /> ( - - %�(' t- C � J ��LC /(�� REGISTERED ® FEE CURRENT <br /> IffillM <br /> Address <br /> BUILDER COMPANY a v <br /> SIGNATURE License # <br /> VS ,�crf- ' • z / F =1=11 <br /> COMPANY ® FEE CURRENT <br /> ELECTRICIAN REGISTERED WM <br /> SIGNATURE License # <br /> Address 111111111111111111111 <br /> COMPANY ® FEE CURRENT <br /> PLUMBER REGISTERED Ma <br /> SIGNATURE License # <br /> Address E:=I=1 <br /> COMPANY ® FEE CURRENT <br /> MECHANICAL REGISTERED prim <br /> SIGNATURE License # <br /> Address IIIIIIINNIIIII <br /> COMPANY ® YIN <br /> OTHER REGISTERED FEE CURRENT <br /> SIGNATURE License # <br /> Address 111111111111111111 <br /> RESIDENTIAL Attach (2) <br /> Plot 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 d m t fo Required subdivisions/large projects on Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work P Forms. R-O-W Permit for new construction. Attach (3) sets Building Plans; (1) set of Energy dat <br /> Minimum ten (10) days ll commercial a requi requirements meet omplia einstalle , <br /> Sanitary Facilities s working & 1 dumpster. after Site Work submittal Permit mat Work for lll new projects. <br /> SIGN PERMIT Attach P <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upg rades over $5000) <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 <br /> Service Upgrades NC Fences (Plot/Survey /Footag <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />