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813-7e0-0020 City of Zephyrhills Permit Application Fax s13-780.OD21 <br /> Building Department <br /> Date Revalved <br /> Phone"Coritact46fPermlttin , 17 <br /> Owner`s Name r//'j G Owner Phone Number. <br /> Owner's Address d 6 Owner-Phone Number <br /> Fee Simple Titleholder:Name" F Owner Phon®.Number '. <br /> .Fee Simple Titleholder Address -. q /� ' <br /> JOB ADDRESS �C.�JdZ 4„JA/Nj/� �-C7 0 6 LOT# <br /> SUBDIVISION PARCELID# <br /> (OSTAINE6 FROM-PROPERTY TAX-NOTICE)'I <br /> WORK PROPOSED e ` NEWCONSTRi_'_ ADD/ALT' [�' S1G"N "`Q f [ . '.DEMOLISH• , <br /> INSTALL ;_..,:,:REPAIR:. <br /> Q:: . 'SFR ,. �. CflMM'" ,`C= OTHER'' ' <br /> PROPOSE[}°USE.. - , <br /> TYPE OF CONSTRUCTIO BLOCK' Q ," .FRAME, STEEL. <br /> - s - <br /> DESCRIPTION OF WORK <br /> BUILDING,SIZE, $Q FQQTAGE .j��. HEIGHT: <br /> ®BUILDING $ <br /> VALUATION b TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE- Q` PROGRESS ENERGY �], W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION;.OF...MECHANICAL INSTALLATION l , <br /> =GAS Q ROOFING-=-: K SP.ECIALTY,= OTHER. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA . ... =YES. .,..NO <br /> BUILDER COMPANY G Q <br /> FEE NSIGNATURE REGISTERED Y W /Y { <br /> Address License# <br /> ELECTRIC COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE WkIREA <br /> Address ...License <br /> PLUMBER, COMP..ANY <br /> SIGNATURE :REGISTERED. - .Y,'I-N �. EEEiCURREN' LxdLj <br /> Address License#< <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7EREDs' - Y;1'.N- - ;:FEE CURRB' Y; '� '. <br /> Address.— License;# I. <br /> OTHER CQ141PANY <br /> SIGNATURE.: : ``' " ' REGISTERED . Y/:.N,e ;FEE'GURREn'. _-Y,:L,N: .. <br /> Address <br /> RESlDENTlAL.,._:='Aittach.(2),Plot_Pians,(2);setsiif$wilding%Plans;(i)set of--EnsrgyFOfms RAW#?ermitfornew,construct'on.J, <br /> Minimumc:ten(:1Q),ai orking days aitersubmittsii date:Y Required dnsite;C.. ,,;lion Plans;Stomiwater'Plans wl'Sllt"F®nce,ln'stelled,; <br /> Sanitary Fad(ItIes&�I„i�umpster Sfte Work Perrri�t:for"=;subdfvfsloti611 praJacts = <br /> COMMERCIAL Attach(3)'complete sets"of BuitdId§Plans plus i 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 onsita,�Construction Plans,Stonnwater Plans w/Sllt Fence installed, <br /> Sanitary Facilities-.&,1_dumpster...SlteYWork.f'errnit for aIVri iprdjeccts`Ali commercial.requirements-must,meet compliance <br /> SIGN:PERMIT Attach*(2}S®ts of Engineeied Plac+s: a,:r' ': .. <br /> """"PROPERTY SURVEY-required for ail:NEW.;constcucUori,.,.. <br /> 01rectionsc .c. .. . <br /> FIII:out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a:Notlica.of-Commencement Is required. (A!C upgrades over.$75o0) <br /> H <br /> Agent(for.the contiacEor)'or:Power:of:Attorney(fey ttie owner)would be someone with notarized tatter from owner authorizing same <br /> .OVER-THE'COUNTER.*ERmrlm. NG-- -(Frbht:of-Appilcation Oniy) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not overrCounter if on public roadwaya..'heeds ROW <br />