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813-780-0020 City of Zephyrhills Permit Application Fax-e13-780-W21 <br /> Bultoing Departrnent <br /> Date Received Pharte for Permitting 79 <br /> fi a a - 0 t I <br /> Owneft Name ma o ownerk2tronefumber a- /�d$3' <br /> Oxrrrefs Adiiress Owner Phone Number 1 �' <br /> Fee SimpleTdtehokler Name I Owner Phone Number' 1. <br /> Fee Simple rmeholder Address i <br /> JOB ADDRESS �ryy}' 7.h1�S t oT#' <br /> SUBDIVISION: fJ NI{V a eTiF{P" PARCEL 1� <br /> (asr wt£a FRW PWERrtuix NOTrcE) <br /> WORK PROPOSED NEW cdo ADD/ALl [ -, SIGN_ -:Q Q. DEMC7iiSH <br /> INSTALL.:• >' REPAIR.:. . <br /> PROPOSED USE Q SFR' COMM [_] OTHER <br /> TYPE OF CONSTRUCTION FRAME STEEL '0 <br /> DESCRiPTiON OF W�ORK�` " C '01Nec J GtC ct3DR dc' <br /> BUILDING SITE"{ SQ FOOTAGE C� - HEIGHT . <br /> OBUILDING, VALUATION OF;TOTAL CONSTRUCTION { <br /> i <br /> =ELECTRICAL' S AMP SERVICE .PROGRESS ENERGY W.R.E.C. ] i <br /> y I <br /> [PLUMBING <br /> MEGHANlGAL S VALUATION,OF MECHANICAL INSTALLATION <br /> �%o + <br /> =GAS = - ROOFING 0. SPECIALTY OTHER...- <br /> FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . .BUIL.D . . . . . . . . . . . .. . . . . . <br /> (� I <br /> SIGNAT <br /> URE <br /> i � COMPANY <br /> SIGNA ! <br /> TURE 1 REGISTERED Y/N �E W RrtEn Y/N <br /> Address LicenseELE <br /> SIGNATURE <br /> COMPANY I <br /> SIGNATURE REGISTERED .. Y/N FEE WPM LyjN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE - �. -.,ti rb1STERW I Y/N FEE CUTtR67 Y/N <br /> Address , _� License#I I <br /> MECHANICAL ` ,•,,O COMPANY " tJJZ'.� dPAt�JG(,�q g t e <br /> SIGNATURE G �i//`� REGisTFRED �' 'Y./N,: FEE cuRREr, Y/N <br /> Address 11�'e r/1u6: . Liaetrse#. Tl�E� 3 6 <br /> OTHER COMPANY i <br /> SIGNATURE —�` '.� 'REGMTERrn I Y/N:- -.FMCURREr, <br /> Addrriss' License# ---�� <br /> / 1 <br /> RESIDENTIAL Attad%'(2)Wot Plans;.{2)"sets'oF Buiklang Plarns.{7)set of:Energy Farms;R O W Permit for new c insttuciioit , <br /> Minimum'on(10}working hays after submi#al date. Required oTtsfte,Cor>Structiofi Plans;Stotnrwater Piarns w/Sift Fence installed;. <br /> Sanitary Facilities <br /> &1 dtunpster Site Warir Pemtit far subdivrnsioTn Marge projects <br /> COMMERCIAL Attactn(2}co:riptete sets of 8uitdtng Pians,ptus a L#e Safety Page:{t}set of E ttergy Forms.R O W Permit for new construction. <br /> NSnimurri ten{SO)woilirry days aitersutxnrhai dais. Required ansite,Construction Plans:Stormwater Plans w/Silt Fence installed, <br /> Sandely Facilities&t dumpster.Site.Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT- Attach(2)sets of Engineered Plans.- I <br /> —PROPERTY SURVEY requusd for all NEW construction.. - <br /> I <br /> Dlreations: <br /> FlII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> K over$25W,a Notice of Commetrcement is required. (AfC upgrades over t75W) <br /> " -Agent(for the contrecior)'or'Pawer of Attorney(for the-owner)Would be someone with notarized.latter.froin,owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy.c rroTntract requiredj,- <br /> Reroofs#shingles 'Seu®rs Sen4w Upgrades A/C Feriees(Plat/Survey/Footage) <br /> Driveways-Not over Counter#on public ntadwdys..needs ROW <br /> i <br />