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813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021 <br /> Building Department <br /> s <br /> Date Received " <br /> •':.Phone.Contact for:PerMittin J 3",' ,3 2 <br /> Owners Name Owner Phone Number <br /> owners Aditress 3 b . 'a ( / w c _ Owner Phone Number'" 1 " <br /> t <br /> Fee Simple Titleholder Name'" Owner Phone Number <br /> Fee Simple}Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# �� �.` 'Z-2t <br /> S (08•TAiNED F.ROM,PROPERTYTAX.NOTICE) <br /> WORK PROPOSED :,:NEW GONSTR 8' ADDIALT [ SIGN` DEMOLISH <br /> INSTALL REPAIR ' <br /> I i ®" " <br /> PROPOSED=USE'. [ : SFR 0 :COMM' -OTHER:..- .:" <br /> TYPE OF CONSTRUCTION 0 " .:'BLOCK Q" FRAME '1777 T. STEEL ] " <br /> DESCRIPTION OF WORK•' <br /> i (o� Z D r <br /> BUiLDI 161;3IZEF SQ FOOTAGE•L HEir3Fif <br /> I.f _ <br /> =66ILDING $ q3y VALUATION..`OF'T-O.TAL'-CONSTF2UC'FION <br /> =ELECTRiCAL $ AMP SERVICE. .:Q `PROGRESS ENERGY` Q W.R.E.C. <br /> =t? UMBIlVG_ .. $ �� 7 <br /> =MECHANICAL $ VALUATION OF,IVIEGHAtViCAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY,- ._- OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. ,NO <br /> - - - <br /> BUILDER 1n..r,,,, CO P r: .► to.s �-c- �.:: cl <br /> SIGNATUfirlE REGISTERED I Y/ N FEE CURREK LXLN. J� <br /> Address License#'( <br /> ELECTRICIAN;` . COMPANY <br /> SIGNATURES- REGISTERED Y/ N FEE CURREM` ` '.:,Y/N; <br /> 77 Addreii Lloense.#:1 <br /> i.r <br /> PLUMBER colalP'�Y .. r... F <br /> SIGNATURiE' ;REGISTERED Y../..N:c FEE CURREK LY/N. <br /> Address ;`Ucense_# <br /> MECHANICAL: <br /> SIGNATURE, REGISTERED.: " Y„/.N` FEE-CURREh;- Y,/,N <br /> Address;` ;r•. "-. ... t,,. .. . . - <br /> -license;#ex("`:.. : ,.. <br /> OTHER `". `COt�t�AAiX <br /> SIGNATURE ReoisTEizEa "Y/ N:._ ";FEE ctiRREn'` YIN•. <br /> Address License#' •, : <br /> •RESiDENTIAC"' _ .rAttacti; 2.,Pict°Plans, 2 sets:r►f l3u11dlri` Plans''{! sef of="Ene` -Forms k',;OX tiC'Permlt-for nsw coestnictiari, <br /> :.Minimum ten(1,0),working;days after sutrmlital date: Required onslte;Constiuctiori-Plans;Storinwater'Ptsns w/SIIt'Fence installed,- <br /> « „ <br /> Sanitary Faciltyes&1 dumpstelpSite Work Pemrit for.subdivisions/llarge.prcijects;•, : :;: `: . ?a ,a ,•,; . <br /> COMMERCIAL Attach{3)complete'set"ssaf'Bii11il1ng:Plans phis a'Life Safeiy'Page-{'I)set of'Energy Forms.RHO W Perml#foc newoonstructlon: <br /> Minimum ten(10)working`days after submittal date. Required onsite,Construction.Plans,Stormwater Plans wl SIIt:Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ail newVrojdcts:.Alt commercial requirements.must meet compliance <br /> _-SIGN PERMITttacii"2 66t§of trid1howed:. <br /> - <br /> •MN <br /> PROPERTY SURVEY r wired for all NEW.construction..eq <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 /> '• aantractor)or'Power of•Attomey(forthe owner)would-be someone with notarized letter from owner authorizing same <br /> Agent(for t4 <br /> OVER THE COUNTER.PERMITTING.,-. - ...{Front of Application:Only} <br /> Reroofs If shingles Sews rs Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.M)6 s ROW' �. ;. <br />