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' ' 813-780-0020 City of Zephyrhills Permit Application Fax-813-78Q0021 <br /> . <br /> Building Department <br /> �°�°R°�°~°d Phone Contact fw Permildn r� r0! _ ���� <br /> 'I"�r_ _T-�-�_ <br /> Ownar's Name ` Owner Phone Number <br /> _ � i.32 5�'1 C'�Yt"�c <br /> Ownsr's Addroas Ownsr Pha»Number <br /> Fea Simpla Tfdaholder Name � � Owner Phone Numbar <br /> Fae SImpN Tltlsholder Addross <br /> JOB ADDRESS ( l0T�k � <br /> SUBDMSION �� PARCEL IDA " " � � �._ _ , <br /> (OBTAIqED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CoN57rt B ADDlALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK , Q FRAME Q STEEL Q , <br /> M S rN� K�y ��/. M e. <br /> �l C <br /> DESCRIPTION OF WORK [/ ww<��.q frr% [( S f CYZS-1`�A- t ty - tt. <br /> `P4St S�UILDINO SIZE d ^ t < < �t SQ FOOTAOE Y{3.S� ��q NEItiHT �I/��L,� � 1(,j'3`� <br /> ti � <br /> �BUILDING E � / ,�q� VALUATION OF TOTAL CONSTRUCTION <br /> �� J C! C���J/"`r- <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS�NERGY Q W.R.E.C. � �l <br /> �V. �V <br /> �PLUMBING $ � � � �1� � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> N�� Oa <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �, `I/'��Q/ h��'"1 <br /> FMIISHED FLOOR ELEVATIONS FLOOD ZONE Af2EA QYES 3 �����si�� �aP PG��'�'"' <br /> BUILDER \``'�� � � COMPANY � CCc�11-L,L<D �-�° - <br /> SIGNATURE REGISTERED Y/ N FeE ctxtaEn Y/N <br /> Address License# � <br /> ELEC7RICIAN ` � COMPANY � I T]11s1 f� <�I C-;�S � <br /> SIGNATURE REGISTEREQ Y N FEE a1RR Y/N <br /> Addrcsa � � license# 1�'"(�-��I� t I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addnss License# <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> qddress License# <br /> p7HER COIIIPANY � <br /> StGNATURE rtEOISTEREO Y/ N FEE CURREA Y/N <br /> /�d� License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111I1 <br /> RESIDENTIAL Attech(2)Plot Plans;(2)sets ot BuNding Plans;(1)set M Energy Fams;R-O-W Permit for new consVudfon, <br /> Minimum ten(10)working days atter submittal date. RequM�td onsite,Cm�sWction Plans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilides fl 1 dumpster,Ske Work Permit fa su6diyisionsllarge projects <br /> COMMERCIAL Attach(3)canplete sets of Building Plans plus a LNe Sefety Pege;(1)set W Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Raquired onsite,Construction Plans,Stormwater Plans wl Sitt Fence installed, <br /> Sanitary Fadlities&1 dumpster.Site Wak Permit for all new projeds.Atl commercia�requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"•PROPERTY SURVEY required for all NEW conatruction. <br /> Dlroatona: <br /> Fdl out application completely. <br /> Owner 8 Contrector sign beck ot epplication,notarized <br /> If ovsr 52500,a Notles o/CommenesmsM Is requlred. (A!C upgnde�ovx 57500) <br /> " Agent(for the contractw)or Power of Attomey(for the oNmer)would be someone with notarized letter from owner authaizfng same <br /> OVER TME COUNTER PERMITTINti (Front of Application Onty) <br /> Reroois if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Drlveways-NOt over Counter if on public roadways..needs ROW <br />