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. ��a��� <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � , ' Budding Department <br /> I, o.�^ <br /> Date Received �� � (,� Phone Contact for Permittin �22 - ��'13 j 6 �D � <br /> Owner's Nama f}�A/K �` �(( Owner Phone Number <br /> � <br /> Owner's Address Q� � � � T L �ner Phone Number <br /> Fee Simple Tideholder Name Owner Phone Number <br /> Fee Simple Tideholder Address <br /> JOBADDRESS �(0�2 �wD Z Fi �3Sy2 LOT# � <br /> SUBDIVISION PARCELID# I��ZG�N �00�0- 570� - '2, <br /> ,�.�/ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR I �I ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL LJ REPAIR <br /> PROPOSED USE Q SFR �� COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK / Q�l/ <br /> BUILDINGSI2E SQFOOTAGE J`f`Z � HEIGHT I <br /> BUILDING $ G/ / /��� VALUATION OF TOTAL CONSTRUCTION <br /> "( (/ <br /> �� ELECTRICAL $ �OoO AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> dPLUMBING $ `��O� �_� J _w „// /V� <br /> / � ��(%L l[ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> Q GAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO <br /> BUILDER r � � e COMPANY In <br /> SIGNATURE �•� REGISTERED N FEE CURRENT N <br /> Address ('J J� (�1fT�� �I�� • License# ���, // <br /> J ��� � � <br /> ELECTRICIAN �/ S' COMPANY7 L1'hr+���,4� lhr;��.+��c� r ��GjY <br /> SIGNATURE ��✓ � REGISTERED Y/ N FEE CURRENT Y/N -- <br /> Addresa �,� L.i�S /'► 't. T K�"� !-! � License# � C.. V��! / �b •�' <br /> PLUMBER �COMPANY �� 0 P um CI � ���� �� <br /> SIGNATURE � REGISTERED Y/ FEE ENT Y/ �..�i° <br /> y�o-� <br /> t. <br /> Addre �{ � �3 License# ���. e�(,s <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Budding Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Mirnmum ten(10)working days after submittal date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdiwsions/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 construdion. <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 Pertnit for all new pro�ects All commeraal reqwrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans <br /> ""PROPERTY SURVEY reqwred for all NEW construct�on <br /> Direcdons: <br /> Fdl out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over f2500,a NoHce of Commencement is required. (A/C upgrades over 55000) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIOUSurvey/Footage) <br /> DrivewaysNot over Counter if on public roadways.needs ROW <br />