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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Vote Received 7 7 <br /> Phone Contact,:forPerm CL <br /> Owner':Name i t V Owner Phone Number . 0 7 "7 5 S� <br /> Owner's Address 0 5 5'%, Owner Phone Number <br /> Fee Simple Titleholder Name`- i i Gyl ' OwneePhone Number' <br /> I <br /> Fee Simple Titleholder Address �• <br /> JOB ADDRESS F LOT# <br /> SUBDIVISION .PARCEL ID# = a -00)0.— 1.5 0 _ 003 Q <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) - <br /> WORT(PROPOSED NEW.CONSTR' ADD/ALT SIGN Q 0 DEMOLISH <br /> e INSTALL 8 "REPAIR <br /> PROPOSED;USE Q SFR 0 COMM OTHER <br /> TYPE'•OF cONSTRUCTION' BLOCK • Q, FRAME• STEEL 0 <br /> DESCRIPTION OF WORK - 3 j, )0 61 A f d4 2. <br /> BUIL DIN G`..SIZE SQ FOOTAGE 0 HEIGHT.0 <br /> - - _ <br /> BUILDING i $ �l S VA UATION'OF TOTAL CONSTRUCTION <br /> } J$ � <br /> EL`ECTRIGAL-- _AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> : I <br /> 0. <br /> PLUMBING �$ <br /> ; <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION &NOW <br /> 0jqq2_ <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =Y•ES NO <br /> BUILDER �n V COMPANY tvt UJ/k)QZ <br /> SIGNATURFr 4 y 1 REGISTERED Y/ N FEE CURREN Ly/'N <br /> Address License$ <br /> :ELEC,'FRIGjAN: ,. COMPANY <br /> SIGNATURE REGISTERED Y/ N FE56URREN ' Y/R <br /> Address' ' - License# <br /> P.LUMBER,j 'COMPANY- <br /> NT :REGISTERED / N YNSIGA Y <br /> Address License#:.I' <br /> ;;%=MECHANCCAI: COMPANY, <br /> "''SIGNATURE'" "- REGISTERED Y/:N FEE CURREN .. .' .Y/N <br /> Address,»- License.#. �.. <br /> OTHER:.:.,r,;:..;,;. ,.. MPAN'CO Y <br /> GNATU,RE:};:d: REGISTERED Y/.N N. FEE CURREK Y/N <br /> Address <br /> 4•. .. -y - rt.,1"tor,f!:.*.'-•c; <br /> RESIDE_NTIAL?�F Attach:{2)PtotPlans;:{2):5ets of Builclii►gFPlaii`s (1}sot of Energy:Foim§;,R?O-ttV Pemi)t_for-new.constittction; <br /> workingjclays aftet:sutirtiittal;date.>RegUired oris6.Construation Plans;Stormwater Plans vir/Silt Fence installed," <br /> 9 .. <br /> Sani ter <br /> ;Facilities;&i,dumpstef;Site?;Work P.ermil=forsubiiivlsianslla1rge'pro]ects`: <br /> "COMMERCIAL_ _ ttacli`>2��m'Iete sets of'Bi9fliiiri`Flans tuna life Safe"Pa e sef of rgy Forms.R•O-W Permiffor'new construction. ^� <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence,installed, . <br /> Sanitary Facilit[es 8�1 dumpster.Site Work Permit fo�L;all-new•pi'ojects.All commercial requirements must meet compliance <br /> i;`:SIGN'�P�FtMIT Attach{Z)Psefs;,"of�EgineeFeiiiPians�t�.;.,° :.�: -,:. ,•:. , .`: . . <br /> �r;a- "`""PROPERTY'SURVEY,reguired for,aII,NEW,construction... . <br /> L, - <br /> ,Jr. onss <br /> Fill.out`applicatlon completely.i <br /> `•-- Qwnei.&Contraotorsign:back of application,notarized <br /> if bVer:$2500;a Notice.of:Commencement.Is required. (A/C upgrades over$7500) <br /> Agent(fo'r'tK6,r;ontractor)•or°Power of,Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> .OVER;THE cQUNTER i?ERMi iTING:,..._.,.__(oopy..of,,contiactarequired).'<": :`„l` <br /> ,., <br /> Reroofsifatiingles Sewers. Service.Upgrades.A/C. Fences,(Plot/Survey/Footage) <br /> • <br /> Driveways-Not over Counter if on public`roadways:needs ROW <br />