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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received i <br /> . Phone Contact for Permitting 2- -2-2-2 <br /> I rTl ..............rT7=........J. ................ <br /> Owner's Name Owner e umber <br /> Owner's Address ME 0 0 <A- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> jj <br /> JOB ADDRESS 53S3oo // A 34 Le L W FG, LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRfix-7, ADDIALT SIGN DEMOLISH <br /> e -- INSTALL REPAIR <br /> PROPOSED USE SFR COMM 0 OTHER <br /> TYPE2bF CONS-rff0c-nON Q BLOCK - I. FRAME STEEL <br /> DESCRIPTION-OF WORK C>6 <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> UILDING 1$ e00 C),) I VALUATION OF TOTAL CONSTRUCTION <br /> ,=,ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING I$ <br /> =MECHAN6L VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ..rr... <br /> BUILDER OMPPA/_ <br /> SIGNATURE RcEGISTERE6' FEE CURREN L_XLN J <br /> Address -License# r <br /> ELECTRIC COMPANY <br /> .ELECTRIC IAN <br /> SIGNATURE REGISTERED Y/ N ." 'FEE CURREN <br /> 'Address' License# <br /> PLUMBER COMPANY <br /> SIGNATURE :REGISTERED Y./ N- FEE CURREF <br /> 7 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE, REGISTERED Yl N 11 FEtCURREN <br /> Addreis,- License J7 <br /> OTHER` COMPANY <br /> REGISTERED Y/ N FEE CURR <br /> :-SIGNAT E�p D <br /> _PR <br /> Address. License# <br /> ,-_ <br /> ....................... ................ <br /> bf-Enairgy-fo, A1.0.0 Permit for ngw.constryptiop, <br /> RESIDENTIAL �Attach,.-(?)'Pl6CPlani�"(2),iet 16611difig;Plans; 1)'sdt <br /> Construction Plans,'.8t6rini* I&Filans wl Silt Fence installed,. <br /> Ittal -keqWre&o sitC' I Minim uM4.tqrk(j 0,,),,w 's <br /> Arkitig,,,days"a er ubm date., nwa <br /> .:� Sanitar ,acilitlei�:&,1,:du,m pst`e_r;-Sit.6�Wor_k,Peirmitforg ubdiVisions/irge.'pigjecig"-. <br /> i.COMMERCIAL AtEcq2ycomplete sets bi-Buldirig kaispl"s a1lf6 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,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&,1 dumpster.Site Work,Permit foF:61[new projects.All commercial requirements must meet compliance <br /> sets.9, ,Engineered-, lans.'­ <br /> GN PERMIT I P ... <br /> ****PROPERTY SURVEY reqpIred for.all NEW construction. <br /> ;Directions: <br /> Fill but application 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,(fdr'th6:do6ttactor.)*or,Power of Attorney(fdr1he owner)would be someone with notarized letter from owner authorizing same <br /> ',OV -CO UNTFR PERMITTING_ ... (copy.of-contract-required) <br /> diroiifs,if,s6lnjies' Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roaftiy6..nde s ROW <br />