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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Departrnent <br /> Date Recelved � phone�Contact for:Permittln `L. — ( �o <br /> Owner'a Name r.i.('�e r Owner Phone Number <br /> Owner's Address L�� k�� C� 5� z �, ;�,v� S Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS LOT# C] <br /> SUBDIVISION � PARCEL ID# ` � • Z,� � �2�p� -�a7oo- osyo <br /> ,^ (OBTAINED FROM PROPERTX TAX NOTICE) <br /> WORK PROPOSED • NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> e; INSTALL e , REPAIR -� <br /> PROPOSED:USE Q SFR, Q �COMM - ' Q OTHER <br /> TYPE OF CONSTRUCTION � Q BLOCK ` Q FRAME [� STEEL Q � <br /> DESCRIPTION OF WORK T P i� 3b Glo �el /Gt. c �i l G-/� i�qS�e� �b e 4 1 � <br /> BUILDING SIZE � SQ FOOTAGE " �� . HEIGHT�.: . <br /> [�BUILDING $ �- ... .,,.:� .�,-> .._.�. .�. . _ : <br /> 7 ����a VALUATION:OF�TOTAL CONS1'RUCTION <br /> QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ' � . � � v <br /> �;� �� <br /> QMECHANICAL $ � VALOATION OF MECHANICAL INSTALLATION. t <br /> QGAS Q ROOFING ;� SPECIALTY Q OTHER <br /> FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO <br /> BUILDER COMPANY � ` <br /> SIGNATURE REGISTERED Y/ N �FEE CURRE� ' Y/N <br /> Address - - Lfcense# � ` <br /> ELECTRICIAN: .`COMPANY � - � - <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� � `Y/N` <br /> Address � , ,�- License=#, ° <br /> PLUMBER , COMPANY . =, � ` <br /> SIGNATURE' ' ,REGISTERED , Y/.N - -FEe-cuRrtEn ; = Y•/N. . .. <br /> Address � Ucense# , - � <br /> MECHANICAL`' � " COMPANY <br /> SIGNATURE ' ' RE�ISTERED Y.,/ N ;. FEE CURRE� Y,/-N = <br /> Address� - • �� � ' License#� <br /> �1� = ,,e. r �'� . <br /> OTHER �. • , �.� ;COMPANY � � O� ' � . ... <br /> SIGNATURE . � - ' REGISTERED � Y/ N.. FEE R�n Y/N. <br /> Address 0�D�C .,� " - � � License#� C Cc 3 2�2CG <br /> � . .,� _.: -. ._ . . . . ; - :� i _, .. . . . <br /> RESIDENTIAL;,;��� :Atta'cFi`'(2).,PIofP,lans;(2)sets.of�Buflding�'Plans;'(1)set`ofEne'rgy�Fo'rins;'R-O=WPertnitfarnew,constructlon, � - <br /> �� �Mlnimumeten-(1,0):u±rorking,days`,aiter:submiftal�date:.Required onsite rC:onstiucBon>Plansr Stormwater Plans w/SIIt Fence installed, <br /> '��� �Sanitary Faciltyes.8�1,;dumpster;Site Work�+Permit for subd(vislon§/large;projects ,_ :.: - ; ' <br /> COWIMERCIAL Attach(3)`compl'etesefs'of Bulitling Plans'plus a�Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Minfmum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 81 dumpster.Stte Work Permit for all new,proJects.All commercial requirements.must meet campllance <br /> SIGN PERMIT Attacli'(2)�sets ofEngineer.ed�P-..lans.� �:- �� � � � <br /> '•••PROPERTY SURVEY reguired for all NEW construction.. -- - • <br /> DlrecHons: � � � <br /> Fill out appllcaUon completely. <br /> Owner&Contractor sign back of applicaUon,notarized <br /> If over�2500,a Notice of Commencement la required. (A!C upgrades over 57500) <br /> " Agent(for the contraotor)or'Power of Attomey(fo�the owner)would be someone writh notarized letter from owner authodzing same <br /> DVER THE COUNTER.PERMITTING - --(Front of•Applicatlon Oniy)-- - - <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> . . . _ ._ _ ... . . -. . " , � , . � ._.; <br /> Drlvewaya-Not over Counter if on public roadways..needs ROW <br />