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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department. <br /> Date Received <br /> - Phone Contact,for Permitting <br /> 3COOwner's Name �� 4�nv1°2. l J��� Owner Phone Number <br /> Owner's Address � r Owner Phone Number <br /> Fee Simple Titleholder Name r Owner Phone Number <br /> i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S4 Z 1'►' 5 Y' LOT# <br /> SUBDIVISION PARCEL-ID# <br /> (OBTAINED,FROM PROPERTY,TAx NOTICE) <br /> WORK PROPOSED R NEW CONSTR`= ADD/ALT Q SIGN [� = DEMOLISH <br /> INSTALL `REPAIR <br /> ------- <br /> PROPOSED.USE, 0 SFR 'COMM 0 OTHER <br /> TYPE'OF CONSTRUCTION 0` BLOCK 0 "FRAME. STEEL 0 <br /> DESCRIPTION OF WORK e ��� 5 �—T4 <br /> S, r <br /> BUILDING.,! ' SQ FOOTAGE _ 1 i7bS HEIGHT <br /> e- <br /> =BUILDING $ "goo <br /> ° VALUATION'OF TOTAL CONSTRUCTION <br /> _ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =P•,LUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING. 0. SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :BUILDER COMPANY - <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address _'License.# <br /> ::-%rELECTRICIAN COMPANY - <br /> SIGNATURE REGISTERED Y/ N FEEf URREN <br /> Address' - License# <br /> %:_PLUMBER;; COMPANY . :: . <br /> SIGNATURE :REGISTERED Y/ N•. ` .. : .FEE CURREA Y/N <br /> Address License <br /> MECHANICAL .COMPANY <br /> 1"'SIGNATURE'" REGISTERED Y/'N . FEE.CURREn Y/N <br /> Address'_> License.# F . <br /> OTHER`'_=11,;; j;, •-� r �[ COMPANY . CL 2 <br /> REGISTERED Y f.N FEE_CURREN -YIN I <br /> Aaaress <br /> Li6erise# '6�� 1 F2?7Z y <br /> -;Attaches.(2)?PlotsPlansr:(2')set's:of:Buildirig'�Flan"s;`_ O° 9!!ti. -W:Pe�it=fo'r new•constiuction,: <br /> rsMinlmum teri,l0 •workin"':da'' afte�'s6brriittal:date::=Re wired onslte`' or`" `"`'`' 'r struchonPlans,'§tormwater Plans wi/Silt Fence.insfalled' <br /> Sanitary;Facilities Y�i�.dumpste�;Site Work Permit,forzisubdiftions/large.pro)ects'::-:-',_ <br /> w COMMERCIAL Attach(2')�co'mplete sets"of'131611 ing Plihi' us a'Life Safety Page;(1)'set of Energy"Forms.R-O-W Permit for new constructlon. ' <br /> Minimum ten(10)•working days-aftersubmittal date. Required onsite,.Construction'Plans,Storrnwater Plans w/Silt Fence.Installed, <br /> .`: Sanitary Facilities&1,;dumpster.,Site w:projects.All commercial requirements must meet compliance <br /> SIGN'•PERMIT "Attach(2)sets;;ofEnglneeredPlaris:t _, :r; -F <br /> "'"PROPERTY SURVEY,[equ(red_for.all:NEW,construction._ <br /> . <br /> F(Il:out:application completely. <br /> '. •wner•&Contractor.sign back of application,notarized <br /> If over;$2500;.a Notice:of:Commencement.is required. (A/C upgrades over$7500) <br /> Agent:(fdr th`e contractorpor.Power ofAttomey(for the owner)would lie someone with notarized letter from owner authorizing same <br /> `,OVER;THE=COUNTER;PERMITTING;.- (copy, contractdrequlred) <br /> „1'777Reroofs.ifafiirigles Sewers .Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> :Driveways-Not over Counter if on public roadviiays needs,ROW <br />