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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ,�'���� <br /> Da,te Received '� <br /> � ' � �� � Phone Contact for Permittin (p� (� _ 3 <br /> Owner's Name c � Owner Phone Numbe� �13° �g 3 - <br /> Owners Addresa ZC�� p �Q L L Owner Phone Number � <br /> Fee Slmple Titleholder Name �( lyJSp� .AL �plr� Owner Phone Number � <br /> Fee Slmple Titleholder Addresa C� � (.LL Z�� •('��(`s L-'1 3��t-( ( <br /> JOB ADDRESS Z�S� C�AC..t_. � LOT A� �� <br /> SUBDIVISION PARCEL ID# 3 '�J -o��j ° a - � ° l O 5 O-- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK t�C�10 V A t, Q�- J i yy�� ;o� ���q�'(' �t N�- - <br /> BUILDING SIZE �---� gq FOOTAGE ����� HEIGHT <br /> QBUtLDING $ VALUATION OF TOTAL CONSTRUCTION <br /> '�11� ptx� <br /> QELECTRICAL $ � G� �O AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 0 <br /> QPLUMBING a ,,� �,�j a�►� ���-� <br /> C��l c�r.� � � N�c <br /> QMECHANtCAL $ ` �lQ ��Q VALUATION OF MECHANICAL INSTALLATION ;�.{��,3z�f�S" <br /> 3 P�� �'c�` se.7r <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �� (`r��t 2 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER `COMPANY �d��� �N��'r(�.���oN <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas �SD F_ r� =.�kS�.�,ti� ��-�� � 33 � License# � �'�Q <br />��'2�g"y�oc,���, <br /> ELECTR C AN �°�`�1 1 �� J COMPANY i I.�. ( ��-ti-�t�, <br />��� �GN,_ATU�so=� \ � REGISTERED Y/ N FEE CURRE� Y/N <br /> �M� <br /> �Ad+rtress 7�' License# <br /> �f`��X��. `�tu- �.1 <br /> PLUMBER � �\� COMPANY ��(.z S�A� V`(L�Ch���tA�--`Jr 1�U� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> 13"��° ��o z I <br /> Address Llcense# <br /> MECHANICAL '�Di Q�� COMPANY C CL St,tL y�/I ^ � ��c.�L. :�G�2 U ic�= S-� <br /> /� <br /> ��SIGNATURE ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worlcing days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes 8 1 dumpster,Site Work Permit for subdivlsfons/large proJects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submfttal 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 requlred for all NEW consVuction. <br /> Directlons: <br /> Fill aut application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement la required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppHcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foohag ,.v , <br /> TTa���38 1M.a21�2 ,. <br /> Driveways-Not over Counter if on public roadways..needs ROW ' �n�'�a{�^�'!'? ���duq y�s�o� �""�°;'--:�., � <br /> ;,- . ,. � ,. .�yx3 �,�:�:1 rV �. i:' ►i <br /> _ . �, a •,n�,��rrrma� '�,� y•,-' <br /> r,!6r�7{�.:3rr4j b10�Od "'�7:..�� �' <br />