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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received. phone Contact for PeFmittin <br /> a `3 <br /> Owner's Name 7f,&,5 ),v<� Owner Phone Number ��1�— C b <br /> Owner's Address Z� /g S / fv� 5c a u �,�� �Gwrner Phone Number <br /> Fee Simple;Titleholder Name Owner Phone Number <br /> Fee Simplel titleholder Address <br /> JOB ADDRESS 36 �� I/C - 0 0-f—MOAT yAT 2'�� LOT# <br /> SUBDIVISION PARCEL ID# 2-1_00W t 8 f ^ (D <br /> f (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR® ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL ® REPAIR <br /> PROPOSED USE = SFR Q COMM 0 OTHER . <br /> TYPE`OF CONSTRUCTION Q 'BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK ZN t ok •tlua N �2_0 S` 2- lvdz) <br /> BUILDING SIZE F50 SQ FOOTAGE o� ®� S HEIGHT • f�� <br /> =BUILDING $ 0 v VALUATION OF TOTAL CONSTRUCTION <br /> ,I AD, oa. <br /> =ELECTRICAL $ �4 w AMP SE�jRRVICtEw Z/Qc� [� PROGRESS ENERGY = WAE.CCIO . <br /> =P,LUMBING $ G ' �Y1 rQ by1 G a� (/�•-�. \ !��l/V <br /> =MECHANICAL $. VALUATI TALLATION <br /> =.GAS = I ROOFING Q SPECIALTY 0 OTHERUluFINISHED Fc LOOR ELEVATIONSF, <br /> FLOOD ZONE AREA =YES- NO �� <br /> 1. <br /> i <br /> BUILDER OMPANYGl'i'�� ►�1S es <br /> I !� <br /> SIGNATURE "` REGISTERED Y'/ N FEE CURREP. Y/N <br /> Address B62 � S �GPWI 1 ?36o License# F�T(9,� 0 Q <br /> } <br /> ELECTRICIAN ,.. _ �] �OMPANY ® G'�� •� 4L�(,(/ yP <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN . Y/N. <br /> 2tn w. - /�,u / + <br /> Address' License-# qC 6� 74 <br /> P.LUMBE .r,. OMPANY6�j er/f , oY 17L' i21 //'� <br /> SIGNATURE. REGISTERED -Y.•/-N - FEE CURREh /N <br /> Address o/o�& �GCL^� S': 4 n License#: c�A(Z � �~ <br /> .MECHANIC�i4L OMPANY <br /> SIGNATURE`' REGISTERED j Y/ N FEE.CURREn Y'/N <br /> Address " 3114 ICJ FJ/ kl G S -;?Ll J License-# <br /> OTHER _'=�;:_ -COMPANY <br /> :''SIGNATURE r;<; _. .^' REGISTERED Y/ N FEE CURREK <br /> Address License# <br /> 'RESIDENTIAL;^ •: Attach(2)rPlotyP.aans'(2)'sets of Building-Flans;(1)`set'of Energy Forms; Permit,for new.construction, <br /> <::•. s:>.:>: - :Minimumaen;(,10)wocking.days aftersubmittal date:,'Requir;.onsiteli-onstruction Plans,'Stormwater Plans w/Silt Fence installed, <br /> Sanitary_,Facilities nladumpster;;SitoWorkPermitfor'ubdiAs'iionsQarg@W9jects:._ <br /> COMMERCIAL Attach=(2)complete sets of Building Plans plus a'Life Safety Page;(1)set of Energy Forms.R-O-W Permit foenew-construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work PermiYfo�'all•neuv proj nl ects.All commercial regaireentsmust meet compliance <br /> ;SICN}�?EI C }f"Attaoh(2j sets ofEngineered Plans:{ <br /> ERTY SURVEY re wired for..aILNEW construction. ---------------- <br /> .. <br /> irections:... . .,; -. . ... <br /> 'Fill applicatiorf completely. <br /> 64nef'8;bontra8t&r sign back of application,notarized <br /> If over'$2500,a Notice•.of•Commencement is required. (A/C upgrades over$7500) <br /> Agent'(for'the�ddntraator),or'Power-of Attorney(for'the owner)would be someone with notarized letter from owner authorizing same <br /> s OVER,THE`000NTgkPERMITTING. -.- _(copy.of-contract:required) <br /> 'Reroofs if'stiingles Sewers, Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />