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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received —`- Phone Contact for Permitttng � O J> 933 - ��a0 <br /> Owner's Name i Gi4r,C-K G ra kLL w. 'Owner Phone Number 01 SS fit/ <br /> Owner's Address -69 4 akc t'`es+ O to Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number - <br /> Fee Simple Titleholder Address' ,gyp L 1. <br /> JOB ADDRESS O�S A_U?5- LOT# 4 <br /> SUBDIVISION S 1 �ST� � PARCEL ID# �� 'a l 0�30 —�0 ` 0®�0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW.CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL B REPAIR <br /> PROPOSED USE 0 SFR Q Comm = OTHER . <br /> TYPE'-OF CONSTRUCTION QT _BBL/OCK ]Q / FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �CQf G -F- ��S�l�- `- /�p�• 0l�PAS Ol!!I� e4,Sml�td/� ��S v� <br /> BUILDING'SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ �0 VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �(C <br /> 9 <br /> =,GAS ROOFING Q SPECIALTY = OTHER (� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :BUILDER COMPANY <br /> SIGNATURE REGISTERED Y-/ N FEE CURREN Ly/N. J, <br /> Address License# <br /> 'ELECTRIC.,..N COMPANY <br /> SIGNATURE REGISTERED Y/ N "FEE CURREN Y/N <br /> Address License# r <br /> PLUMBER.;, . COMPANY' <br /> `'SIGNATURE. REGISTERED Y/'N. FEE CURREN Y/N <br /> Address License#'. <br /> MECHANICAL":. COMPANY. <br /> SIGNATURE`°. REGISTERED Y/ N - FEE CURREN Y/N <br /> Ad"dedis License.#. <br /> OTHER`.', COMPANY /✓i c�2VA" 1A <br /> - : <br /> 'SIGNATURE,:+;';; REGISTERED Y/.N- FEE CURRENLL <br /> Address=, �90 7f� ! t> l� �° 3�5`/ License# WC® 0 70 <br /> if <br /> : . <br /> RES(DE_NTIAL �. •,,Attacfi`;(2)PltifPlan's ,(2)sets`of Building-Plans;Y(1)`set ofEnerg'y,Forms;R=O=W,Permi4for new,construction,: <br /> ":3`4_ ',¢ ;,` ;MinimumaenF(21Q)sworkingiJays;afte�submittal:hate:`Required`'onsite;Construction Plans;'Storrrlwater Plans w/Slit Fence installed,. <br /> . <br /> Sanitary Facihtfesi&1�dumpster;Site Wor(c Permit forsubdivlsionsflarge projects' <br /> MMERCIAL Attach(2)wmplete"sets of Building Plans plus a Life Safety 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,Stormwater Plans w/Silt Fence.installed, <br /> Sanitary Facilities&1 dum ster:Site Work.Permit for all"new projects.All commercial requirements must meet compliance <br /> P,. <br /> t='SIGN:PERMIT ""Attidli 2 sets_of,En ineered.'Plans:zs:. e•; <br /> PROPERTYSURVEY required forall.NEW.construction. <br /> *11tout,application completely. <br /> Owner:'.&Contractor sign back of application,notarized _ <br /> If'over$2500.a Notice.of;Commencement is required. (A/C upgrades over$7500) <br /> Agent-(forth'e`contractor),or,Power'of'Attomey,(for the owner)would tie someone with notarized letter from owner authorizing same <br /> s. OVER:THE,COUNTER:PERRITT,ING;...-- (copy_of.contractrequired) <br /> Reroofs if.,Shingles Sewers Service Upgrades A/C- Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If ompublic,roadways..rleeds ROWS;, <br />