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813-780-0620 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> //,z /t Betiding Department <br /> i <br /> to <br /> Received <br /> Phone-Contact for•Permittin Eg) 3 7 j`!' <br /> Owner's Name 4:1140 Owner Phone Number <br /> i <br /> Owner's Address ST tom_. Owner Phone Number <br /> i <br /> Fee Simple•TitleholderName Owner Phone Number <br /> Fee Simple Tltleholder,Address <br /> JOB ADDRESS <br /> ���� . �� // R/I( ,� LOT# <br /> .. I <br /> SUBDIVISION �. PARCEL iD# " <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW tdNSTR ADD/ALT SIGN' Q 0 DEMOLISH i <br /> e: INSTALL 8 ,,REPAIR' <br /> PROPOSEDQISE 0' SFR 'com'M OTHER <br /> TYPE OF CONSTRUCTION -- 0 '"BLOCK FRAME STEEL 0 � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE r SQ_FOOTAGE '17 j HEIGHT- .-�'.-.f 16 ! ' <br /> =BUILDING $ 1 <br /> VALUATION''OF,TOTALCONSTftUCT10N <br /> ELECTRICAL $ AMP SERVICE i Q Q PROGRESS ENERGY [,� W.R.E.C. <br /> '- 1 <br /> =PLUMBING $ - /(lOG <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION-- C j <br /> =GAS ROOFING :0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER CONIPANV" z '? LJlztcs�v t�+,t lsi�c�I att 1 .�C <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN ' ' Y/N" <br /> Address 711p� 16T� IRee7, Z'c N 9 G : <br /> l�S t'��.3 y License#' C� %�5714.dp <br /> ., GGC c .a <br /> ELECTRICIAN:•.::. <br /> SIGNATURE REGISTERED Y/ N J FEE'CURRW' ' "Y/N <br /> Address G��^fit F /�-Tt License# . <br /> PL MBER ` COMPANY t <br /> S GNATURE'`' �'� ' t5� REGISTERED. Y./,N:; V._ .;FEE CURR.�' Y/N. <br /> :..Uoense,# , <br /> MECHMICAt:` COMPANY <br /> SIGNATURE REGISTERED . Y,/ N FEE CURRENT. Y/-N <br /> Address"e h License# <br /> OTHER COMPANY <br /> SIGNATURE: r" REGISTERED` Y/ Wj FEE CURREP Y/N l� <br /> " . <br /> Address License# <br /> RESIDENTIAL,,', °Attach,(2),:PlotP,,.fans;:-(2)sets:ofBuliifiitg'+Plans;=(!)se#'afEnergy>Forms,F2-0=W'Perinitfornewconstruction,.., <br /> Minimum,tenr(,1.0�working;days'aftersubmlttet date.`'Required onsitii,o tnictltin Rlens-,Stonnweter'Plans w/Siltfencelnstailed, <br /> Sanitary FaGltties;&;;1 dumpster Site.Work;ParMltfgrsubdivisicnsAarge priojects;.:., <br /> COMMERCIAL Attach(3)`comptete sets of Buliding Plafisrpius a Life Safety aPage (i)set of Energy Forms.R C►-W Permit#or 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 Attach-(2)'sets of Engineered=Plans::.: ,' :., <br /> 'PROPERTY SURVEY requlr,fior al(NEW,construction.. <br /> Directions: i <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,,a Notice of Commencement is required. (AtC upgrades over$7500) <br /> Agent(for the contractor)`or'Power,of-Attorney(for th-6 owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING . .--(Front'of Application•Only) <br /> Reroofs If shingles Sewers. Service Upgrades A/C,. Fences(PI ot/Survey/Footage) <br /> Drlvewa Not aver Gaunter if on' ublic roadwa n s <br /> ys-. P ys.. Bad ROW' <br />