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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department,.- <br /> Date RecelYed <br /> Phone Contact for Permitting- - <br /> .ho. g i 3 <br /> Owner's Name Y Lf t��t�(�S bwner'Phone Number <br /> Owner's AddressH tD fl 3 C-c-i.T'v-)der, Owner Phone Number <br /> Fee Simple,71tleholder Name �— Owner Phone Number <br /> Fee Simpie•Titleholder Address <br /> JOB ADDRESS 3G 3 LOT# r 3 <br /> SUBDIVISION PARCEL ID# ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED - NEW CONSTR ADD/ALT SIGN �.. Q DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR Q COMM ,OTHER <br /> TYPE OF-CONSTRUCTION il 04 BLOCK 0 FRAME STEEL Q <br /> DESCRIPT ION OFWORK Iota t•10 victDL,5 Sr32a- t2e A k 168-13-3 #t 11 1 j6 <br /> BUILDING"SIZE SQ FOOTAGE HEIGHT <br /> MB.UILDiNG VALUATION OF TOTAL CONSTRUCTION <br /> i. <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 4 <br /> QPLUMB{NG 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION. <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER l�COMPANY iYL— end <br /> SIGNATURE p J C V - REGISTERED Y/ N FEE CURREN,, Y/.N <br /> Address N�ooc co t q 'v License#' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CU(RRE�Y/N <br /> Address License# I <br /> PLUMBER" COMPANY <br /> SIGNATURE REGISTERED' Y/ N' FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY' <br /> SIGNATURE • ' REGISTERED YJ N:, FEE CURREP <br /> Address, License# 177—� ^ <br /> OTHERa COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP_ <br /> Address -License# F . <br /> ESIDENTIAL Attach(2)PIot1Plans;.,(2)sets_of Building,Plans :(1)set,of*Energy.Forms;R=O,W,Permit for new.constructior;... <br /> Minimum"ten-'(1l))`°work{ng days offer subrrlittal=date: Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> 'COMMERCIAL Attach(2)complete sets of Building Plans plus a Life.Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction, <br /> Minimum'ten(10)-working days:after_submittai'date..,Required,onsite,Construction Plans,.Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Worts Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach'(2)sets UEngineered Plans: <br /> ""PROP.ERTY,SURVEY required for all NEW construction. <br /> D free tlons: <br /> FilUbut application completely. - <br /> 'Owner8 Contractor;sign:back of..appiicaton,notarized <br /> If•aver$2,500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> *' Agent(fo(the contractor)orPawer of Attorney(for the owner)would fie someone with notarized letter from owner authorizing•same <br /> "OVER,,THE'-.C.OUNTER�PERMITTING .(copy of,contract required) <br /> Reroofsifshingles Sewers Servi&Upgrades AtC Fences.(Plor/5uiveyffootage) <br /> Drlveways=Not over Counter{f on public road ways..n eccis"ROW <br />