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,. . <br /> e»-7ao-oo2o City of Zephyrhills Permit Application Fax-813-780-4021 <br /> , Buiiding Qepartment <br /> Dada Recelved —�' Pha»e Corrtacf fat PertnHti LJ `�~ -� <br /> Owna�s Name �"�"r� i���' Owner Phone Number <br /> ��"`�.. <br /> Owners Addreas �•��3t7jt$�'� Z'�`{�5��� '3 353� o+rn+r Phone Numbar <br /> Fae 8impie Titlehotde�Name C— � Qurr+�er Phone Number ��� <br /> Fee Simple Tltleholder Addresa <br /> JOB ADDRESS �4�� �.��.�-�������.. �• �OT if `� <br /> �,.ftl►5�,.WOOt7� � n <br /> SUBD}VISiBN S��V'!� t`3t�5 � PARCE�IDi '��o' ����R 4 —���"'�lt Q <br /> (OBtA1NED FROM PROPERTY TAX NpTiCE� <br /> WORK PROPOSED e NEw CONSTR 8 ADD/ALT [„� SIGN Q Q DEMQLISH <br /> INSTAIL. REPAIR <br /> PRQPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OP CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK CrG'C+Yr „p0�'�' ^ <br /> BUIIDINC,SlZE �� SQ FOOTAGE C�,?-,� HEIGHT C-�I <br /> �BUILDING �f�y �„�,n Qtj � VALUATION QP TOTAI CONSTRUCTIdN <br /> h�y�� <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> / <br /> QPLUMBING �� ��t1 <br /> QMECFiANICAI. $ YAIUATIOW C?F MECNANtCAI INSTALtAT14H � � ✓ <br /> QGAS Q ROOFING Q SPECIALTY C� OTHER <br /> FINtSHED FIQOR ELEVATIONS �� FLOQD ZONE AREA QYES NO <br /> ,,, � Jf <br /> BtNLDER ��� �OMPANY ��" ONSTIG�G�'�-�� � <br /> SIGNATURE G��r{�J REKiISTERED Y/ N FEE CURRE� V/N <br /> ��� Q license# ��.7?� � <br /> ELECTR1GtAN CdMPANY � <br /> SIGNATURE REpfSTERED Y/ N FEE CURRE� Y J N <br /> q��� license# ( � <br /> PLUMBER � � C4MP/WY � � <br /> SIGNATURE { REG187ERED Y/ N FEE CURREh Y/N <br /> Addresa Ucense# �� <br /> MECHANFCAI. � � CCNdPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURREf. Y/N <br /> ,q��� lic:ense# � � <br /> OTHER � COMPANY � � <br /> SiGNATURE REGISiERED Y/ N FEE CURREh Y/N <br /> Address Ucense# �� <br /> IIIIIIM111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTl1LL Attach{2}fNOt Plsru;{2)sets af Buliding Plans;{1)set of En�gy Forms;ft-t3-W Permit fw new constn�ction. <br /> Minimum ten(10)working days after submittai date. Required cansite,ConsWCtion Plans,Stortnwater Pians w7Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> C4MMERCIAL Attat;h{3}epmplete sets of Building Plarts plus a Life 5afety Page;{t)set of Energy Fortns.RA-W Pertnit for�ew canstructfon. <br /> Minimum fen(14}working days sfter submittai dete. Required onsite,Construction Pians,Stprtnwater Piarts wl Sift F�instafled, <br /> Sanitary FaGlities 8 1 dumpster Site Work PertnH for all new projects.All commercial requiremenGS must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PRdPERTY$URVEY required far ait NEW constructian. <br /> Dlrections: <br /> Fill out application Gompletely <br /> Owner&Contractor si�back of application,nptarized <br /> H over 52500,a Notice of CommencemeM is required. (A!C upgrades over 57500} <br /> `" Agent(for tbe contractor)or power of Attomey(fpr the owner)would be someone with notarized letter from owner authprizing same <br /> OVER TH£COUNTER PERMiTTiNG (Front of Application Oniy} <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIOUSurvey/Footage) <br /> Driveways-Nat over CouMer ff on pubiic roadways.needs ROW <br />