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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 8uilding Deparlment <br /> '� ' Date Recelved ' <br /> Tr�Trr Phone Canlact tor Permfltfn _ <br /> OwnaY's Name `� Owner Phone Number 8(3- rS-54�3. <br /> Owner's Address Owner Phone Number <br /> Fee Slmple Tltleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Addreae <br /> JOB ADDRESS J — ('�j I,S �"'I., �' LOT q � <br /> SUBDIVISION PARCELIDq �I- ' ��DDID:-/9 o4-OD O.. _ <br /> (OBTAINEO FROM PROPERTY TAl(HOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT � SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> " <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONS'fRUCTION Q BLOCK Q FRAME � STEEL Q <br /> _ DESCRIPTION OF WORK /� �(�� <br /> .. _... - <br /> BUILOING SIZE SQ FOOTAGE� HEIGHT . - . . <br /> 'TfRTY'TI"t��IT1Tf1"P.. .'. . .. . . .. . ..�... . � . <br /> T�"r1"I"f"1'�TI�Trt�..._ . ....._... ................�...�. .. <br /> ' "�rr�� TrT1T.TP7�T'P'1"'I'7TT1'RTrrT� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ' ' AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $' <br /> _ ��� <br /> �MECHANICAL $ ' / VALUATION OF MECHANICAL INSTALLATION <br /> �0 i <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> -�4-�-�1-1-bd�i-4i-:�-��p.+-+-^-1-F-�-{•8-1�-F-�{-1-a-1-.': '.-0�-:-e i:,l-�:-i-'.�-S-4-f-I--�.,1-L�-1-1-�1-'.-:-:-i-�'.-'.-:�� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address <br /> - License# <br /> ELECTRICIAN �COMPANY <br /> SIGNATURE REGISTERED �.Y/ N. FEE dUFiRE� �Y/N ' <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNA'fURE REGISTERED Y/ N FEE CURRE� Y/N. <br />' Address License# . <br /> . , . .. <br /> MECHANICAL COMP.ANY /h TCGGt s� �(,� O'�1�S� �j'�,L <br /> SIGNATURE � REGISTERED Y./ N FEE CURRE� Y!N <br /> Address G - G.. • �• � S� 1 Licensel� (%� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N� FEE CURRE� � Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111 <br />' RESIDENl7AL Allech(2)Plol Plans;(2)sets of Building Plans;(1)sel ot Energy Fortns;R-O-W Permll tor new conslruction, <br /> Minimum len(10)working days after submlllal dale. Requlred onsite,Conslrucllon Plans,'Slormwaler Plans w!Slll Fence inslallad, <br /> Senilery Fecililles 8 1 dumpsler;Sile Work Permil for subdivisionsAarge profects <br /> COMMERCIAL Allech(2)comPlele sets of Buildl�g Plans plus a Life Safely Page;(1)set ot Energy Forms.R-O-W Permil for new conslruction. <br />' Minimum ten(10)working days efler submlllal dale. Requlred onsite,ConslrucUon Plens,Stortnwater Plans w/Silt Fence inslalled, <br /> Sanilary Facililies 8 1 dumpsler.Sile Work Permil for all new proJects.All commerclal requirements must meel compllance <br />, SIGN PERMIT Allach(2)sels of Engineered Plans. <br />� ""PROPERTY SURVEY requlred for all NEW construcllon. <br /> ,,,�.��. . ��S-:�=�.'.-..r�� 1-{-1-1-1-�-�y ' ��'. <br /> Directfona: �"""'^��^�""'�^^� <br /> FIII oul epplicatlon completely. <br /> Owner 8 Contraclar sign back of applicalion,nolarized <br /> It over E2500,a Notice of Cnmmencement ia requfred. (AIC upgrades over$7500) <br /> "' Agenl(tor Ihe conlractor)or Power o(Allorney(►or lhe owner)would be someane wilh nolarized lelter from owner eulhorizing same <br /> OVER THE COUNTER PERMI7TING (copy of confract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(ploUSurvey/Foolege) _ <br /> Driveweys-Nol over Counler iF on publ(c roadweys..needs ROW • <br />