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013-780-0020 City of Zephyrhills Permit'Application Fax-813-7t3U-UU21 \` <br /> Building Department <br /> I <br /> Date Recelv®d 5 :.Phone Contact for Permittin $ ) -S F16 <br /> Owner's Nye ►AW u Owner Phone <br /> Owner's ddP®ss '`�0 �L�t(N S/N e Z e P41 r )j.S Owner Phone Number S� `� — •J� <br /> Fee Simple(Tltleholder Name OWner'Phone Number <br /> Fee SimpleiTitleholder Address <br /> JOB ADDRE �'�"f�G LOT# <br /> SUBDIVISION•. PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) . <br /> WORK PROPOSED R <br /> NEW,CONSTR= ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED'USE' = SFR 0 `'COMM 0 OTHER <br /> TYPE'OF CONSTRUCTION 0' BLOCK 0 'FRAME 0 STEEL Q <br /> DESCRIPTION OF W. Ce W1.[e ,r7 IAdS Z P <br /> -BUILDING SIZE F SQ FOOTAGE .•HEIGHT. <br /> F ALUATION'OF TOTAL CONSTRUCTION <br /> r ' <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =.MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =,GAS Q; ROOFING- SPECIALTY. = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> �:. <br /> DIL'DER _ "�a �- ,, COMPANY <br /> SIGNATURE V <br /> oe REGISTERED Y'/ N . 'J FEECURREi` <br /> i <br /> Address 'License:# <br /> ``ELECTRICIi4N'. COMPANY <br /> "SIGNATURE REGISTERED Y/ N • I _ FEE;CURREN <br /> Address License# <br /> i <br /> >>PLUMBER.; COMPANY <br /> -SIGNATURE REGISTERED, I Y.-/'N,'' .- FEE CURREN. Y/N. ' <br /> Address License <br /> MECHANICAL COMPANY,. " <br /> `',:.,SIGNATURE.' = ` ' REGISTERED Y/ N FEE CURREt` Y/N <br /> Addreas�><. : ' : License.#: <br /> `:_.OTHER:; :,:.........;.-::. <br /> .'COMPANY <br /> REGISTERED Y/.N FEE CURREN Y/N <br /> _.. <br /> Address.,;. Cicerise`# <br /> RESIDENTIAL;'` 'fAttacti r =E nergy,Forms;R-O.W Periit fone"PlotPlans; 2peBuildigP ) atof W constructon,:, <br /> 4.•.,Y;;, x•�: .Minimum uteri°(10)',workin`';:ia'siaftet submitta6,date.4 e uiretl'onsde,Construction Plans,`StormwaterPlans vir/Silt Fence installed; <br /> s .. s x 9 Y q <br /> Sanitary;Facilittes}8 1 dumpster,Site.,Work Permit.forrsubdivisions/lar ,,projects`::' <br /> -rCOMMERCIAL Attach�2')-camplete sets"of'Building Plans plus`a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permit for'new'construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence.installed, <br /> Sanitary Facilities&_1 dumpster.,Site Work Permit fdVillmew'projects.All commercial requirements must meet compliance <br /> ``-:-''SIGNPERMIT YAttach�(2)'sets;ofEiigneer<edPlaris.±>-,:: .�.:=._ - . <br /> "PROPERTY SURVEY re uired_for,.all,NEW.construction'. <br /> Q... <br /> reC <br /> Fill'`outapplication completely. <br /> Owner.'&Contractor-sign.back of application,notarized <br /> If_over,$2500;a Notice-of:Commencement is required. (A/C upgrades over$7500) <br /> Agent'(for the cohfr`actoryor°Power•of'Aftomey(for the owner)would-tie someone with notarized letter from owner authorizing same <br /> `'hOVER TWCOUNTER PERMITTING.,_..,_:. :.(copy_of contract:required) ''"" <br /> Rer'oofsi..shingies Sewers. Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> :Driveways-Not over Counter If on public roadways::r eeds'ROW <br />