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. .. <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building epartment <br /> DateReceived � _._�.. phoneContactforP rtnitting � �8a _ �9a a <br /> OwnersName Ol /'[T f OwnerPhoneNumber '��g� Js�p <br /> Owners Address �J�0 -7� 7`/`C.C� Owner Phone Number <br /> Fee Simple Titleholder Name N Owner Phane Number <br /> Fee Simple TiUeholder Address /✓ �' <br /> JOB ADDRESS D � S�'%"�Q e LOT# � <br /> SUBDIVISION PARCEL I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK , "'�COl7 � �C �D <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> I QBUILDING $ VALUATION OF TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � /� ` <br /> � �/ <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION �\�7 <br /> QGAS Q ROOFING ���SPECI7i6TY OTHER <br /> FINISHED FLOOR ELEVATIONS ,�✓� FLOOD ZON AREA\ QYES NO <br /> �-F:-�i-C y„i- .i . )..�....�...r....�i..t4.-.-...-i..i-r ...r.� <br /> r <br /> I <br /> BUILDER ��COMPA Y f <br /> SIGNATURE � RecisreR o Y/ N FEE CURR Y/N � <br /> Address / fi 4 ��S �� License# �L � <br /> r <br /> ELECTRICIAN COMPA Y � <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address i\ / .� License# <br /> R �'��_/ <br /> PLUMBER � COMPA Y <br /> SIGNATURE 1 REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPA <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPA <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIII1111111111111 III111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ene gy Fortns;R-O-W Pertnit for new consWCtion, <br /> Minimum ten(10)working days after submittal date. Require onsite,ConsVuclion Plans,Slortnwater Plans w/Silt Fence instalted, <br /> Sanitary Facilities 8 1 dumpsler,Site Work Pertnil for subdivi ons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety P ge;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Require onsite,ConsVuction Plans,Startnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new rojects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPER'fY SURVEY required for all NEW construction. <br /> 1.,F:�-.�.��..-r .�-.�� <br /> Directions:, <br /> Fill out applicatlon completely <br /> Owner 8 ConVactor sign back of application,notarized <br /> Ii over Ez500,a Notice of Commencement is required. (A/C upgrades o er$7500) <br /> " Agent(for the conVactar)or Power of Attomey(for the owner)would be som one with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI771NG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVS rvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />