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Permit Application Page_1 pdf http.//www ci.zephyrhills fl.us/files�/Building_Dept/Permit_Applica. . <br /> — a�s-�ao-ooz� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buddmg Department <br /> Date Received �� Phone Contactfar Permitting <br /> � 1 i � � I � 1 I e 7 i t � 7 � � � <br /> Owner'sName ' � QZ.Q.r �r II OwnerPhoneNumber pf��� '103o�.. ] <br /> Owner'sAddress ���� �a �1. Ze_r�hvrhills �3�4d OwnerPhoneNumber tQ3-q44-yga� , <br /> Fee Simple 11tleholderName �— � Owner Phone Number �— 1 <br /> Fee Simple lltleholderAddress 1 <br /> JOB ADDRESS �Q � 7. Le rh�� s � LOT A �1 <br /> sueavisioN �— �� PARC�IDi D�'a,lp 'a�-OOgO -oDa00-DD 70 I <br /> IOBTANED FROM PROPERiY TAX NOTICE� <br /> WORK PROPOS� e �vEN�CovS�R� DDlAL � SIGN Q Q DEMOLISH <br /> INSTALL R <br /> PROPOSED USE � SFR � COMM � OTHER I <br /> TYPE OF CONSlRUCl10N Q BLOCK Q FRAME � STEEL Q I <br /> DESCRIPTIQNOFWORK R F � �K (Q jY� ���C <br /> BUILDING SIZE � SO FOOTAGE� HEIGHT <br /> �BUILDING $ QOU� VALUATIONOFTOTALCONSTRUCTION <br /> �J <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R E C <br /> �PLUMBING $ ��� (!,� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATI ONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY OLC�N�2 � <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y J N <br /> Address License# <br /> ELECTPoCIAN � COMPANY � <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y 1 N <br /> Address License# �— � <br /> PLUMBER I COMPANY �� <br /> SIGNATURE ( REGISTERED Y I N FEE CURRE� Y I N <br /> Address � <br /> License# <br /> M ECHANICAL CO M PANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y I N <br /> Address <br /> License# <br /> OTHER � � COMPANY �— <br /> SIGNATURE � REGISTERED Y I N FEE CURRE� Y I N <br /> Address <br /> License# �� <br /> IIIIIIIIIIIIIIIII11111111111111l11111III1111111111 { t1I11I11111t1111 <br /> RESIDENTIPL Attach(2}Plot Plans, (2}sets of BwlcNng Plans;{1)set of Energy Forms,R-0.W Permit for new construchon, <br /> Mmimum ten(10)working da�rs after submittal date Reqwred onsite,Construction Plans,Stormwater Plans wf Silt Fence installed, <br /> Sanitary FacilRies&1 dumpster,Site Work Permit for subdrvisionsllarge pro�ects <br /> COMMERCIAL A[tach(3}complete sets of Bwlding Plans plus a Life Safery Page,(1}set of Energy Forms R-O-W Permit for new construction <br /> Mmimum ten(10)working da�s after submittal da[e Reqwred onsrte,Cons[ruction Plans,S[ormwater Plans w!Silt Fence installed, <br /> Sanitary FacilRies&1 dumpster Site Work Permrt for all new pro�ects All commercial requirements must meet compliance <br /> 51GN PERMIT Attach{2)se[s of Engineered Plans <br /> `**'PROPERTY SURVEY reqwred for all NEW construction <br /> Directlons: <br /> Fill out application completey <br /> Owner&Contractor sign back of apphcation,no[arrzed <br /> If over 52500,a Noticc of Commencement is required. (A/C upgrades over 57500} <br /> *" Agent(for[he contractor)or Power of Attomey(for the owner}would be someone�n[h notanzed letter from owner authonzing same <br /> OVER THE COUM'ER PERMITTING (Fron[of Apphcanon Onlyy <br /> Reroofs rf shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> 1 �� � Ilriv�wavc_Nnt nvpr C'nnntar if nn nnMir mariwauc nqprk R(1VV 3/13/2013 1�17 PM <br />