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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-4421 <br /> , � Building Department <br /> Date Received .. 2, -�' � Phone Contact for Permitting t3 � — �s 3 l " <br /> Owner's Narrte Owner Phone Number g��-997-1074 <br /> Owner's Address Owner Phone Number � � <br /> Fee Simple Titleholder Name � � Owner Phone Number ] <br /> Fee Simple Titleholder Address <br /> JQB ADDRESS LOT# �� <br /> SUBDIVISIQN � —� pARCEL ID# 13-26-21-0140-00000-0300 <br /> (06TRINED FROM PRflPERTY TAX NOTlCE} <br /> WQRK PROPOSED � NEW CONSTR 8 ADDIALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPdSED t1SE � SFR Q CdMNt � OTHEf2 <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL. Q <br /> DESCRIPTIQN OF WORK R L E <br /> BUILDING SIZE � � SQ FOOTAGE C_� HEIGHT �._� <br /> QBUiLDING �6 � VALUATION OF TOTAL CONSTRUCTION <br /> QELEG7RICAL �$ � AMF SEftVICE � PRCIGRESS EiVERGY Q W.R.E.C. <br /> � <br /> � �PLUMBING $ ,1445.00 t ��' n (,� <br /> QMEGHANICAL $ VA�UATION OF MECHANIGA�1NSTR�LATION Z � � <br /> �GAS � ROOFlNG [[� SPECIA�TY �� OTHER <br /> a � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NQ �"� I���� <br /> . , . �..... . . . . . . . . . . . . . . . . � . . . . . . . . . �,_. . . . . . . . �, . . . . . . . <br /> u . <br /> �-w-r <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �` � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# �— � <br /> ,,...... ,,._ C <br /> PLUNIBER G4MPANY TAMPA SOLAR C41�[7'RACTING INC. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Aadress P.Q.BOX 26I226 T��MPA FL. 33685 �icense# RXOQ50903 � <br /> MECHANIGAL GOMPANY <br /> SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> OTHER � �-- .�COMPANY ' <br /> SIGNATURE REGtSTERED Y! N FEE CURRE� Y/N <br /> Address �icense# � � <br /> iltltlllttililtltlttlltllttllttlltlttt111111111111111111I1111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new canstruction, <br /> Nlinimum ten(10}working days after submittal date. Required onsite,Consfructron Ptans,Stormwater Plans wi Siit Fence instalted, <br /> Sanitary�acilities&1 dumpster,Site Work Permit for subdivisions/large prajects <br /> COMMERCIAL Attach(3).complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. � <br /> Miriirnum ten-{90}warEcing days ai#er submittal date.-ReqUired onsife,Ganstruction P1ans,StaRnwater Plans wl Sit#Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets'of�Engineered Plans: � " � <br /> *"*'PROPERTY BURVEY required for all NEW consEruction. � <br /> . . u� . . . . . . . . . . . . . . . . . . . . . . . �. . . . . . . . . . . . . . . . . . . . . . . <br /> . : , : : : � : : : . :.� . ��.-. <br /> Directions: <br /> Fi!!out application campletely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$75U0) , � - <br /> "* Agent{far the contractor}or Power of Attomey(for the owner}wauid be someone with notarized ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingies Sewers 8enrice Upgrades AlC Fences{PlptiSunreytFoatage} <br /> Driveways-Not over Counter if on public roadways.:needs ROIN � <br />