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. ' � sis-�ao-oozo City f Zephyrhills Permit Application Fax-813-780-0021 ���J �.� <br /> Building Department �j <br /> ' ���V� ° <br /> � • Date Received � � , pho e Contact for Permitting ('1 V� ) �%�Y - <br /> T�,-r�- �33 S� <br /> Owners Name �� ` • Owner Phone Number � � ��� <br /> Owner's Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS J T�� � LOT# ��� � <br /> SUBDIVISION PARCEL ID# �1�Z� � � � � �b j�� �� ZQp ° �c�L�. <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED B riew corisra� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOF WORK ���E-�-�D�L. C��(�'�' -Lrn roJ�.Yyt�v��� �I���I} <br /> C �n � <br /> BUILDING SIZE _ SQ FOOT E I J� HEIGHT 1 <br /> TrTTPITPrT°°T I�P°�iT ITriT TITTTPTTTTrTRP�P8�1TT <br /> QBUILDING $� J . �� ALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> DELECTRICAL $ -_ _, �;,l MP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> (�l <br /> OPLUMBING �-� � � �G�� <br /> ���' � �� -�( �� 6' <br /> QMECHANICAL $ „ ALUATION OF MECHANICAL INSTALLATION �� <br /> ,�a � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER ` ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �� <br /> BUILDERT.�._.-.-r..-P.--^;..-r.-.-� .v`C�`,N..�.�r �Y1� •��j�"�.�.��tb� ._..-.-.�-V <br /> SIGNATURE •�~ � •-�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address oL7o�'{ 5(,��Y��1^GLu � M�-K 3 Z7�� License# l.�l.Q���� � C� �/"" " <br /> ���� <br /> � �Q � ` � � <br /> ELECTRICIAN ' C P�I — <br /> SIGNATURE �� REGISTERED Y/ N FEE RRE� Y/N <br /> Address / �� `,5 ^ �� License# � � <br /> iV �. <br /> PLUMBER COMPAN ^ <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y N • ��• <br /> Address ! � (,� . License# � <br /> :A\ <br /> MECHANICAL �lZ' � <br /> SIGNATURE RE TERED Y! N FEE CURRE� Y/N <br /> Address �y � � ��(LL�C�/"L License# f <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ', <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PI ns;(1)set of Energy Forms;R-O-W Permit for new construction, �I <br /> Minimum ten(10)working days aRer submi tal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans lus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion. I <br /> Minimum ten(10)worldng days after submi lal date. Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all N W construction. <br /> -i�F�i-B-F.-�l-a-i-1.-1�1-9-�1.-1-1-.l-.6-6-6-F.l-l-4a- Fi-8-1-6-F-i..F-1-.1-1-1-.1.-1-d-1--I�h1-1-i-i-4�J-6..1-8-4.�1-a-�1-4..J-F.1-1- '� <br /> Directions: � i <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over S7500) <br /> " Agent(for the contractor)or Power of Altorney(for the o er)would be someone Hrith notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicati n Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..need ROW <br />