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813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021 <br /> Building Department <br /> Date Received �,_ C• rP t.Phoneitontact for Pernilttin : <br /> Owner's(dame 6J ' ,dr•c < /1-0f L �iG Owner Phone Number <br /> �� v <br /> Owner's Address //D �•. ,_c+� �@ -Owner Phone'Numbs . <br /> Fee Simple;Tltleholder.Name / G '`� '�� Owner Phone Number <br /> Fee Simple?Titleholder Address <br /> JOB ADDRESS `7 �f� G ` � G C �t ,✓ 1 7; �G LOT# <br /> SUBDIVISION PARCEL ID# '. f'-�!��. . L`='�SL/,�a&5,� � <br /> (OBT/VNED F.ROM,PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW Ct1N57 R _ ADD/ALT SIGN Q- Q DEMOLISH <br /> e. INSTALL 8 REPAIR <br /> PROPOSED,;,USE 0. SFR• COMM' `. - �OT.HEW <br /> • <br /> TYPE OF CONSTRUCTION; ,- 0.. BLOCK FRAME L 'STEEL .0 <br /> DESCRIPTION OF WORK yCs/w DT� <br /> E <br /> i <br /> fL , <br /> 13UILDING�SIZE` SQ FOOTAGE; <br /> .E HE <br /> =BUILDING <br /> 1 VALUATIOW-b`F TbTAL'-CONSfR'UdTION <br /> QEI ECTRIt AL $ AMP SERVICE: Q PROGRESS ENERGY [� W:R.E:C. <br /> � t <br /> OPt:UMBiNG $ <br /> MECHANICAL $ VALUATION OF$MEGHANIF4L`'-INSTALLATION <br /> =GAS ROOFING Q SREC1AlTY{, __::;.:OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES. NO <br /> BUILDER . COMP;a�NY`=. t <br /> SIGNATURE REGISTERED I Y/ N FEE CUPtN Y/N <br /> Address License <br /> ,ELECTRICIAN COMPANY•` <br /> SIGNATURE= REGISTERED Y/ N FEE CURREN <br /> • s <br /> Address License <br /> PLUMBER ' :,COMPANY <br /> SIGNATURE` REGISTERED, _ Y,/,:N.,z FEEaCU12RE�K �Y:/N. t <br /> Address <br /> MECHANICAh' <br /> SIGNATURE <br /> FEE CURL3En.: .Y,/N` <br /> Address'! <br /> Lit;erise'# <br /> Fx..,.. — <br /> OTHER ;COMIPANX <br /> SIGNATURE ' "REGISTERED" Y/"N.::_.:' '=FEE CURRE� Y7 N <br /> Address' .. License# ' <br /> Worki ' • = T +'RESIDENTIAL c :Aach'2,;Plo#;Plains;s(:2}ie�of� dirg,?a (1) etE o ms;'".R Femt orrw:iorsctioor, <br /> ng;dayafrnla`d � R Oka'r rk r wansw <br /> 2 <br /> SIItiFence Installed, <br /> "Sanitary Facllitiest3�1:,dumpster?Site'Work`Permif.#graubdivision5/iarge,'FpioJects= +: <br /> COMMERCIAL Attads{3)i cing!®te'sets•`af Bvilifllig=Plans phis a'tafe Safetp Page;{1)set of Energy forms.R-d-ryW Permit for nia.-construction. <br /> tion. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new<proJects:.All commercial requirements-must meet compliance <br /> SIGN PERMIT Attach(2y.sets of t~riglne rid Plans::,;:. ,r- -;>::;r .:•: <br /> ""PROPERTY SURVEY required for all„NEW=constructlon. <br /> Fill out 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(for the,00ntractor)'or'Power.of"Attorney(forth-owner)would-be�someone with notarized letter from owner authortiing'sime <br /> OVER THE COUNT R•P.:ERMiTT1NG (F fcnt of Application:Only}.. <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if am pubila.roadways:iieadsS ROW .' <br /> :, <br />