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813-780-0020 City of Zephyrhills Permit Application Fax a1 7ea-0azl <br /> Building Department <br /> Data Received d Phone Cwdact for Permidim97 <br /> owner's Name We OWmerPhorreNumber <br /> owcer"s Address / :6 4 Owner Phone.Numb". <br /> Fee Simple Trireholder Name _ Owner Phone Number <br /> Fee Supple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION { i PARCELIG& JJ �fo o aD/d /�i�-SGYS. G)LDD <br /> .. _ .. (OBTAMP FROM PRogERTY TAX NOTICE) ' <br /> WORKPROPOSED . NEWODNSTR. ADD/ALT [__J: -.SIGN Q DEMOLISH . <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER . <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME Q STEEL = l .... <br /> DESCRiPrAm OF woRK�. e5 r"lGt �j f1}/�J a DGti oS T /• To/V <br /> BUILDING SIZE I S4 FOOTAGE HEIGHT'C <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION . <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY Q W.R.EE.�C.!/� <br /> =F LUMBING $Cy <br /> MECHANICAL: / q�b - VALUATION-OF MECHANICAL INSTALLATION <br /> =GAS - Q ROOFING Q SPECIALTY = OTHER 11 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGWMEb I Y/N' I FEE CUERREN .�Y/N J <br /> �l <br /> Address License#1. I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N' FEE CURREN I Y I N <br /> Address License#r <br /> PLUMBER -- IS SIGNATURE REGISTERED I Y/ N FEE CURm Y I N <br /> Address Ucense# <br /> MECHANICAL COMPANY ftittEl�S�RN2�"4 c TV nu <br /> SIGNATURE REGISTERED I Y/N FEE CURREn I Y/N <br /> Address _ Y4� / A _ T U .2-A#ALks.a use# <br /> OTHER "COMPANY ! <br /> SIGNATURE REGISTERED I YIN FEE WRRE1•: Y/N <br /> Address License#F7 <br /> 171 <br /> 11111111111111111111111111111111111111111111,111I,11•IIIIIII111IiIlIi <br /> RESIDENTIAL Attaoh-(2)Plot Plans;{2)sets of Building Plans;(1)set of Energy Forms;R-O-W Peimii for new cons"clim <br /> Minimum ten(10)warlang days after submittal data. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitacy Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach(2)complete sets of BWkbng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for'now construction. " <br /> Mutimum tali(10)wud6ng days after submittal date.-Required onsite.Construction Plans,Stomtxater Platys wl Silt Ferree installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2).",of Engineered Plans: <br /> —PROPERTY SURVEY required for all NEW.construction. <br /> + - <br /> Ok.Wohs:' <br /> FYI out application completely. . <br /> Owner&Contractor sign bade of application,notarized <br /> If over WN,a Notice of.Commencemai t It.regnfretlr(AfC upgrades over$75W) <br /> " Agent(for the cxmtractor)or,fower of AM." owner)would be soeheone with moW6:ed1etter froin owner-authorizing we_, <br /> OVER THE COUNTER PERMITTING- . (copy bf contract required) <br /> Reroofs tf shingles .' Sewers Service Upgrades'A/C; Fences(Pt(WSurvey/Footage) <br /> Driveways-Not over Counter kon public roadways-heeds ROW <br />