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813780-0020 ��•� <br /> , City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received � .� '" /� 7�_1 �`� — ��^ <br /> Phone Contact for Pertnittin ��� <br /> Owner's Narne �c har�l / �e Owner Phone Number <br /> Owners Add ress 7�� J 3 r� �T Owner Phone Number ��' <br /> Fee Simple TitlehoWer Name rT Owner Phone Number �� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � I h��J� 5 � LOT# � I <br /> SUBDIVISION �C h r l,1�I`'j � PARCEL IDI� +'�~�'` +�(������/� "��10 <br /> I�a�D FROM PROPBtTY TA7c No71Ctry <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> � 1 � <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING <br /> a �•OQ VAlUAT10N OF TOTAL CONSTRUCTION <br /> �ELECTRICAL � AMP SERVICE � PROGRESS EN � W.R.E.C. <br /> QPLUMBING $ � i <br /> QMECHANICAL $ VALUATION OF MECHANICAI INSTALLATI N � <br /> �� <br /> � <br /> OGAS � ROOFING � � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BU ILDER ��'����� COMPANY ��'1U ra7 1�17 � ��;4 L i a�-s <br /> SIGNATURE �J REGISfERED Y/ N F�CuRREn Y/N <br /> Address � �,(� � 1 • Vu.�� License# �� �'�s�0 �3 <br /> 44�5 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N FEF CuRREn Y/N <br /> Address Lice�se# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISiERED Y! N F�cu�n Y/N <br /> ��2 Address ��� <br /> ji THER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> r <br /> Address License# <br /> 111111111 11111111111111 <br /> RESIDENTIAL Attach(2)Pbt Plans,(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new corutruction, <br /> Minimum ten(10)working days after submiltal date. Required onsite,Constructan Plans,StormMrater Plans wf Sift Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisior�s/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildirg P�ns plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. RequKed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpste� Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Ptans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&CoMractor sign back of applicatio�,ratar¢ed <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over S7500) <br /> " Agent(for the corrtractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Frorrt of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PbtlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways._needs ROW <br />