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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received I <br /> Phone,Contact for•Permlttin <br /> Owner's Name t1� r [✓ ()' C Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple ITitleholder'Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB U201 LOT# <br /> !SUBDIVISION GSA y t ty trf of 11�6 v� PARCEL ID# ���zI 4 ��3�� <br /> i - ., (OBTAINED FROM PROPERTY,TAX.NOTICE) ' <br /> WORK PROPOSED _::! NEW CONSTR ADDIALT [ SIGN` . [�• Q DEMOLISH <br /> INSTALL R REPAIR <br /> PROPOSEDMSE 0 §f R• Q 'COMM -OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK, JL4-- <br /> BUILDING-SIZE �� t` J�L> SQ FOOTAGE ( H-ElGHT" <br /> QBUILDING $. + 5( c::5 � VALUATION-"di=`TOtAL-CONSTRt1CT10N <br /> QELECTRICAL $ AMP SERVICE �$� 'PROGRESS ENERGY 0 'W-.R.E,C. <br /> OPIUMBING. <br /> [MECHANICAL $ VALUATION OF:MECHANICAL INSTALLATION, � �3 Z� <br /> =GAS ROOFING .0 SPECIALTY,. F_' OTHER <br /> 0 7 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY' { <br /> SIGNATURE REGISTERED Y/ N FEE CURREP LUN <br /> Address License# <br /> i <br /> ELECTRICIAN: PANY' (V .+ 5"5 1,25 i �r <br /> SIGNATURE ' REGISTERED I Y/ N FEE'CURREh" <br /> Address 1 fi License# ,; <br /> PLUMBER I COMPANY <br /> SIGNATURE' REGISTERED. Y./,:N t FEE CU„ EP Y/N, <br /> ;,;.. .. Yam_. <br /> Address Z�� L lcerise,# ( h •. 1 � <br /> MECHANICAL CCIMPANY A' <br /> SIGNATURE REGISTERED,, Y,„„/,N. ; FEE CURRE�; Y.%N <br /> Addrees` i/ / l `Z a �-%s ZG f License#'. Ff7GD .S' <br /> OTHER <br /> „ .. ,., <br /> SIGNATURE' "'•' REGISTERED Y/ N�.' FEE CURREA <br /> Address License# ' <br /> REStDENT#Ai.;; :Attach{2)kPlo(:Platt''s {2)sets of:k3illfding;Plans;{i)se#of EnergyIF <br /> arins;R=O=W Perin}t far new bnstruction,_, <br /> Minimumgten;(1.0);workingydays;,after_subinKIM da#e.:.Required onsite;:Co'n-stiuc8on P-tans;Storrrrwater'Pians•w/ , (:Fence installed, <br /> .. urn <br /> Sancta" Facilltles pster;Site,WoNfermit for subdivisiahs/large <br /> COMMERCIAL Attach(3)iximpiete sets'of B'tiR itog Plans'plus a I:ife Safety Page;(1)set of Energy Farms.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 Facilitles&1 dumpster.Site Work Permit for all new.projdcts..All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach"{2)"6ets•df Ehjfneered�Plaris.i . <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 contracto. or"Power of Attorney(fbftliie''cwner)`would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER,PERMrrING. -(Front of-Application-Only)- <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways:.needs ROW <br />