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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department / <br /> Date Received �3 77,x � <br /> Phone Contact for Permitting G <br /> Owner's Name X114-AX0 Owner Phone Number <br /> Owner's Address SD f� / c57� ��' �12�l�5 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS D// 4 s4- LOT# <br /> SUBDIVISION PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR'= ADD/ALT 0 SIGN = = DEMOLISH <br /> INSTALL -REPAIR <br /> PROP..OSED.USE = SFR Q COMM = OTHER . <br /> TYPE'.OF CONSTRUCTION 0 BLOCK 0 FRAME _. STEEL = <br /> DESCRIPTION OF WORK AI`J GL DIIZ% ! /r ASL <br /> BUILDING SIZE SQ FOOTAGE O HEIGHT • ��� �O�F���/ <br /> =BUILDING $ 00 VALUATION'OF TOTAL CONSTRUCTION <br /> -=ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONl� <br /> =,GAS ROOFING Q . SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y-/ N FEE CURREN Y/N <br /> Address -License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N. - <br /> Address'` License# <br /> PLUMBER;, . COMPANY- ; <br /> SIGNATURE REGISTERED Y•/ N FEE CURREN Y/N <br /> Address License#' <br /> MECHANICAL COMPANY <br /> SIGNATURE''' REGISTERED, Y/ N.- FEE,CURREn Y'/N' <br /> Address .License.#-T <br /> ;.:OTHER' ":: - .ti., I�� COMPANY /ri ��t�c'�c%? O <br /> .-SIGNATURE--,,;.,-' REGISTERED Y/�.N FEE CURREN Y./N` <br /> Addre'ss:. g�i/!`v. SOd ,. "License# �eL!'7 7f� <br /> -'RESIDENTIAL; `AttacFi-•(2)Plot::P.lans'(2)sets'of Building:Plans;(1),set of-EnergyForms;R=0-1N.Pertnit for ngw.constiuction,. <br /> Minimu_m ten`(.10):workingid_ays:aftersu6mittal:date.:Required onsite;Construction Plans,`Stoemwatere lan Ps wl Silt Fence install ed,; <br /> Situ ta 'Facifitiesz&:1•cTum stet SiteVVone Permit forsutidivisiorls is e:ro ects`�. — -�-- - <br /> a'COMMERCIAL Attach(2)com'plete'sets of'Building Plans phis a Life 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'for_all-new•projects.All commercial requirements must meet compliance <br /> ;SIGN<PERMIT i4ttach(2)`sets_of Engineered�Plans.r:.. <br /> ."'PROPERTY SURVEY re wired for.all,NEW construction.. <br /> '{'•Directions: <br /> FIIFo.Ut application completely. <br /> Owner•&Contractorsign back of application,notarized <br /> .If over$2500;a Notice.of"Commencement is required. (A/C upgrades over$7500) <br /> Agent`(for'th'e contractor)°or Power-of Attomey•(for the owner)would be someone with notarized letter from owner authorizing same <br /> `OV,E.R,THE:000NTER=PERMI RING.. ....:..,..(copy_of contract.required) <br /> T,1 <br /> `Re�odi if shingles Sewers, Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pyil c�,rpadw,a s,.ideds RO ` ��...�..,..,�,.�»�--^•�•-� '''" <br />