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: 3 <br /> : f113-780-0020 City of zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> , • Date Received � (_X�, � )"�'��� L_�_JLJ <br /> 2 ZZ Phone Contact for Permittin � <br /> ; -a-p-o-r-g--a-t-r - t�-r t ���o--�� <br /> • Owner's Name �1�.{ � " . l (T Owner Phone Number <br /> Owner's Address � ��`-( � Owner Phone Number � <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Pee Slmpla TBUeholder Addrese <br /> JOB ADDRESS ) d LOT# � <br /> SUBDIVISION PARCEL IDrY ' ��`��-�OIO` Q j�G1O " O�-5-� <br /> (OBTl�INE�FROM PROPERTY TAX WOTICE) <br /> WORK PROPOSED B NEW CoNSTR� ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR ,� COMM � OTHER <br /> 'FYPE OF CONSTRUCTION Q BIOCK 0 FR.AME 0 BTEEL Q <br /> DESCRIPTIONOFWORK f�il�.�I/�7MfK!{/0���/ ��- � (/�*S���V%}/�El- �Cc3Hq�j /p �/$����CZ�(L• <br /> i / Le��'.f�C- 1� <br /> BUILDING SIZE ��X Ia a �!'p SQ FOOTAGE 70 HEIGHT <br /> � <br /> BUILDING $//C�rQ G� VALUATION OF TOTA�CONSTRUCTION <br /> 7 /� <br />� �ELFCTRICAL ¢ �^O �� AMP SERVICE 0 PROGRESS ENERGY Q W.R,E.C. 1� <br /> J _(, _ <br /> / � l�lL� <br /> QPLUMBING $ ,y}�j 2 7il � <br /> �eCY+(il � r�.� ��+z" <br /> QMECtiANICAL $ VALUATION OF MECHANICAL INSTALLATION ' � �`is!-D.� /� „�y',Q, <br /> Y�.. ' ���v� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER � �I V `� � �C�f <br /> C� <br /> FINISHED FLOOf?ELEVATIONS FLaOD ZONE AREA �YES NO �^ <br /> � s'� <br /> ° q g p � <br /> BUILDER �'�' � � �� � �COMPANY �S� 3�✓� ���� � `V <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y I N `� <br /> Address �3 (� �G��S.,.' -j( lV.lii$c�i /� f�,G�f / ��G v jE%� <br /> 4 0 .�� <br /> • K" <br /> ECTRIClfi� � � �� CO AN � <br /> SIGNATURE REGI EREO Y/ N FEE CURRE� Y/N <br /> 8f15°� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> kddress License# <br /> MECHANIC{1L COMPANY <br /> SIGNATURE REGI57ERE0 Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> OTSi[R COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIII � IIIIIIAAIAl1111111111AI1 � lAliA911111lAllltlllllllllllBA1111111 <br /> RESlDENTlI1L Attach(2}Plot Plans;(2)sets of 6ullding Plans;(1)set of Energy Fortns;R-O-W Pertnil for new c�nstructien, <br /> Minimum ten(10)worY.ing days after sabmittal date. Required ensite,ConstrucGon Plans,Stortnvrater Plans w!Silt Fence install�d, <br /> Sanitary Facililies&'I dumpster,Site Work Pertnit tor subdivisionsllarge projects <br /> COPAMERCIAL Attach(3)complete sets of 8ullding Pians plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pemiit for new construction. <br /> Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Fecitilies&1 dumpster.Si[e Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineerad Plans. <br /> ""PROPERN SURVEY required for all NEW construction. <br /> .� <br /> Dlrectlons:• <br /> Fill out application completely. <br /> Ovmer&ConVactor slgn back of application,notarized <br /> If over$2500,a NoUce o/Commencement Is requfred. (AIC upgredes over$7500) <br /> " Agent(for the contrec[or)or Power of Attomey(for the oKmer)would be=_omeone with notadzed lett_r from owner autherizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicallon Only) <br /> P.eroofs if shingles Sewors Service Upgrades A/C Fencos(PIoUSurvoylFootago) <br /> Driveways-Not over Countes if on pub!Ic roadways..needs ROW <br />