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i <br /> 813-780-0020 City of Zephyrhills`E?ermit Application Fax-813 780-0021 <br /> i Building Department <br /> r U r.►P G fz7 <br /> Date Received LI <br /> phone Contact for;Peimitt(n 713 Z(off Cal `J <br /> - <br /> Ovrner"s Name QANeaat''•is l CG)I�/�1 Oixner:Phone Number <br /> Ownoes Address r /ZA i G ! owner Phone Number- <br /> Fee Simple Titleholder Name i OivAbr`Phone Number —_ <br /> I <br /> Fee Simple TifleholderAdddress 1 <br /> JOB ADDRESS. :7-7 N d C"I I eV5,T P P I 7-C _ i C l-3]�LW .LOT# <br /> '� Situ�t <br /> St18DIVISION. �4AiS C f2 nt d' i.�' Et t0# t� "2ka-2 i-45 t sue► if-,goo <br /> .� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN Q = DEMOLISH <br /> INSTALL. REPAIR' <br /> PROPOSED USE C] SFR 0 COMM OTHER —i <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> r _ <br /> DESCRIPTION OF WORK �� A�; 1ocnA 19/V)T SSf Zk-, Z_S)>.2'_ <br /> BUILDING SIZE SO FOOTAGE C� HEIGHT- <br /> _ . . . ... . . <br /> ®116ILDING $' I 2-7 .r VALUATION OF TOTAL-CONSTRUCTION <br /> I <br /> =ELECTTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E,C. <br /> =PLUMBING $ 2-0 qqb <br /> =MECHANICAL $ I VALUATION OF MECHANICAL INSTALLATION r" <br /> 6 <br /> =GAS ROOFING SPECIALTY OTHER v 2 <br /> FINISHED FLOOR ELEVATIONS ff FLOOD ZONE AREA =YES, NO <br /> I <br /> '�-'.-. . �' . <br /> L <br /> BUILDER c sL 1erSb•„M6rYlEL Ce iTQle% (_L.c, . <br /> N <br /> SIGNATURE REGISTERED '— Y/ N FEE CURREt Y/N 3-- <br /> Address Pry (Sox'7%f!'gR3 C) fpwdel FL � License# CZE 15C}�;,?{!7 <br /> 3?.4 T S' <br /> ELECTRICIAN � � COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y/N <br /> Address License# �� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN �— <br /> Address i License# <br /> MECHANICAL I COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURR9, Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED I Y/N FEE CURREN Y/N T�. <br /> Address ( License#:F_ <br /> I11111111Illlllltllilllll. IIIIIIIIIIi�illllllllltl.l`t1111'IIIIIIY1111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(?)sets of Building Plans;(1)set of Energy Forms;R O-W Permit for new construction, <br /> Minimum ten(10)working days after suE mlttal date. Required,onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler,Site Work Permit for subdivis,ons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building'Plaq's plus 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. Requiredionsite,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 Attach(2)sets of Engineered Plans, I <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely., <br /> Owner&Contractor sign back of application,notarized <br /> If <br /> over$2500,a Notice of Commencement is required. (A/C upgrades aver$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING :(copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades AIC Fences(PipttSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..ne Ids ROW <br /> E <br />