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813-780.0020 City of Zephyrhills Permit Applicati '- -813-780-0021 <br /> Building Department <br /> Date Received Pitons ntact for Pe Itt1n 410 0?4 j <br /> Owner's Name on er <br /> Owner's Addres ��'S `O S rx/6lf ' Q-: terPhone Number- <br /> Fee <br /> Simple iTitleho y '�"�L Owner Phone Number <br /> Fee Simple Titleholder Address 35 /Ds-i <br /> JOB ADDRESS r f /(Il �L 33 S a.- LOT# ! �3 ��` <br /> SUBDIVISION � `'. -1�lo .�� PARCEL ID# 7/ <br /> al-00fD-I3el00 CV!o <br /> (DETAINED FROM PROPERTY,TAX NOTICE) <br /> WORK PROPOSED NE'W CONSTR- . " ADD/ALT SIGN' 0 DEMOLISH <br /> INSTALL ;,.;REPAIR <br /> PROPOSED:U$E SFR- 0 COMM OTHER71 <br /> TYPE OF CONSTRUCTION 0`" BLOCK Q' FRAME Q '.'STEEL 0 <br /> DESCRIPTION OF WORK' NO rzv� -4akav Vp t rr'1 Av o 'vew a,--ac�,1 c . <br /> BUILDiNG`SIZE' SO FOOTAGE <br /> _ <br /> „ D <br /> s _ <br /> �BUIL �� - 00 VALUATI0N`fJF TOTAL'C0NSTRUCTION <br /> I <br /> =E111 ECTRICAL $ AMP SERVICE Q ,PROGRESS ENERGY - Q -WA.E:C. <br /> I <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF'MECHANICAL INSTALLATION <br /> 1*09 <br /> =GAS Q ROOFING :0 SPECIALTY:•C 1 OTHER. G} ! <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO 1 <br /> BUILDER COMPANY - C r U <br /> SIGNATURE /^ i REGISTERED Y/ N "FEE CURREN "" ' Y/'N' . <br /> Address 33q N�,q License#Y''( <br /> ELECTRICIAN: :COMPANY' u� �' <br /> SIGNATURE REGISTERED Y/ N FEE 6URREKpY/N <br /> Address' License.# r Cr 4,j,J fib 6 7 2 9 j <br /> PLUMBER <br /> SIGNATURE' -REGISTERED /...N:. ,,FEE CURREN Y/N. <br /> Address License# <br /> MEGHANIGAI.". COMPANY <br /> 913 <br /> ,. i.. <br /> SIGNATURE REGISTERED,, Y„/ N , FEECURREA -N: • �t80 <br /> s itresa, ' t Lictsrise# <br /> OTHER I�� <br /> .�. <br /> :...,:, ,: :: FEE CURRE�''.. .. Y/N <br /> SIGNATURE REGISTERED`` Y/ N..... <br /> Address License# - <br /> RESIDENTIAL, =: :Attach-(2),P1dPl4ns;(2)safe=-of'Buil'diiigi Plans;(1)sef of=Energy=Parise;R-0={N Perrtiit far how construction, . <br /> ,;,1,,:Minimum ten(:1,0);„xorkingrda_ysafkeraubmittal`date. :Requlred onsite;;CoristivaUon=Flens;'Stoimwater Plans w!SIIt Fence installed, <br /> "San(tary Facllttlesr&1..dumpsterrSite:W9nk Permit,forsubdivisions/large:;projects:. _ <br /> COMMERCIAL Attach(3)'comptete se fs'of Builofng Plans plus`a'I,Ife Safetyr Page;'(1)set of Energy Forms.R-O-W Permit for new construction. * <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomtwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new.pro)ects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attadh-(2}aets'6f`Engi`neo`r Plans.; :;_ <br /> ""PROPERTY SURVEY required for_all..NEW construction.:- <br /> Directions: .., . <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$7500) <br /> Agent(for the dontractor)or'Power-df Atlbiney(fof the owner)� uld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER.PERMiTTING._-- -Front•of- lication-Ont ; <br /> ( APP Y) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roaduiays-..needs ROW <br />