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813-78U-0020 City of Zephyrhills Permit Application Fax 813-78U-UU'L1 <br /> Building Department <br /> Date Recelyed <br /> D Phone Contact for Permitting <br /> Owner's Name N d�"U �J�� �C Owner Phone Number 3 SZ-s9`�' 31-1 <br /> Owner's Address sT Owiner Phone Number j ��3^'f )1 <br /> Fee Simple¢Titleholder Name _�r1"�' OwnerPhone Number <br /> Fee Simple;Titleholder Rddress <br /> � Q <br /> JOB ADDRESS J & Z -` S� <br /> ^ LOT# <br /> { -Zto -ZI -oe10 —to LOU — dv30 <br /> SUBDIVISION PARCEL.ID# <br /> I (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW-CONSTR ADWALT 0 SIGN 0' 0. DEMOLISH <br /> R <br /> INSTALL 8 :REPAIR <br /> PROPOSED,USE. 0 SFR Q 'COMM = OTHER <br /> TYPE':OF CONSTRUCTION = BLOCK �- FRAME - _. STEEL <br /> DESCRIPTION-OF WORK �f}2T1/>rL . (Z.C- =(Al l2(- <br /> BUILDING SIZE :. SQ`FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> P <br /> ELECTRICAL $ �V AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> .PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ,AS . 0;. ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> I <br /> .BUILDER COMPANY <br /> SIGNATURE REGISTERED Y•/ N- '' FEE CURREN, Y/N. <br /> Address License:# <br /> 1 <br /> `ELECTRI,CIjAN .,;. ;.COMPANY G G C'✓t1. 146 G/�t It <br /> SIGNATURE REGISTERED I AN N FEE GURREt. Y/N. <br /> Address - License-# F <br /> PLUMBER NY- <br /> 'COMPA .: <br /> 'SIGNATURE REGISTERED Y/ N, FEE GURREN LILN. <br /> Address License#; <br /> MECHA NICAL` COMPANY-. <br /> "`SIGNATURE-' '• REGISTERED Y/ N FEE CURREN. <br /> Address'i-r= License#_ <br /> OTHER`:. :,: ,r 'COMPANY <br /> F <br /> i <br /> SIGNATUREz>':;ct.: REGISTERED Y/:IV EE CURREK LY/N <br /> .. Address,.. - r:,r; License <br /> a,N•_ I EN7 �. _ di' tans' -1y°set ofEner" FormsrR=O=VV.Peit "'rnew,construction rr <br /> .,-_ES D IAL,:,l. Attacfi(2),PIot;Plars 'j2.)`sets:of Buil ng P ,O 9Y- ... <br /> nimum ten(,1:0).working?:dagsKafter`sutimittal date:' tequired�onsite"Constriction PIan6,`Stormvirater Plans Wt It Fence installed; <br /> Sanitary.Facilities:&r;l,dumpster;SifeWork+Permit;for:subdivisions/large'projects'..:' <br /> ~T I:OINMERCIAL Attach 2y-com lete'sets of'Bi ildin PI'aris fus a Life Safe 4"Pa e; 1 set of Energy Forms.R-O-W Permit for new construction. <br /> � ) P 9 P � tY 9 ( ) 9Y <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed, <br /> ;:.• . Sanitary Facilities S:1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> :. SIGN:PERMIT "Attach(;)"6 fs of EngineerediPlans t• : I <br /> •"'PROPERTY SURVEY-required-:fOr.aIl,NEW,construction:... - <br /> f.Dlre tlbits:,, <br /> -'`"'Filfout application completely. <br /> O,wmer;&Contractor sign:back.of application,notarized <br /> -If over:$2500;.a Noticeof:Commencement is required. (AIC upgrades over$7500) <br /> Agent(for`the contractor)=or-Power of"Aftomey(for'the owner)would tie someone with notarized letter-from owner authorizing same <br /> F.Reroofs ifa COUNTER'PE.RMI_TrIf+IG;, --(copy ofcontract:required)OVERTHE <br /> hingles' —Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter'if'on publielroadways.-.nee s,4 k, <br />