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813-780-0020 City of Zephyrhills Permit Application Fax-813-790.0021 <br /> Building Department <br /> Date Received <br /> - ; ,, :..Phone.,Contact<for,:Perntlttin : <br /> . <br /> Owner's Flame J h S C7 Owner Phone Number <br /> Owner's Address 5013 / 7*. S-7- Owner Phone Number -•�, <br /> Fee Simpip1Titleholder'Name. OwnerPhoneW mbar <br /> Fee Simple;Titleholder Address f77 <br /> E <br /> JOB ADD# SS LOT# <br /> SUBDIVIS 6w PARCEL <br /> � r <br /> i (OBTAINED F,,ROM,PROPERTY TAX.NOTICE) <br /> WORK PROPOSED NEW CONST ADDIALT SIGN • 0 DEMOLISH <br /> INSTALL -REPAIR <br /> PROPOSE -USE .. COMM <br /> TYPE OF C97NSTRUCTION 0 BLOCK " :0 FRAME [ 'STEEL' .. <br /> DESCRIPTION OF WORK .' L✓ ��,� ,/- (/C J (��, l <br /> f j <br /> BU1LDlNG`SIZE .SQ-FOOTAGE C <br /> HEIGHT'`a. ''6 _ . <br /> i rfi <br /> (U]OUILDING $ ,. ,.,.. <br /> ` x VALUATION-0 'TOTAL':CONSTRUCTION <br /> =#ECTRIGAL $ AMP.SERVICE. Q. PROGRESS ENERGY` _ 'WRAC. <br /> =PLUMBING $ <br /> =MECHANICAL $ 1tALUATION'of, HA9UfCAL•I[SIS?ALUITION <br /> it <br /> =CAS Q ROOFING 0 SPECIALTY;.; OTHER: - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> {, <br /> BUILDER ' -s' ll- ,�� COIUII'ANIf' <br /> SIGNATURE W REGISTERED Y/ '':FEE CURREK " Y` <br /> Address License# <br /> .ELECTRiC.1�t,. -;COMPANY ' <br /> SIGNATURE- REGISTERED Y/ N FEE CURREK;` <br /> r <br /> Addresa•, <br /> PLUMBER,s <br /> SIGNATURE': - <br /> REGIS�TEREp. <br /> Address Licegse <br /> MECHANICA1:;:_ <br /> SIGNATURE REGISTERED,:• :...- <br /> .NCURREn,<',, <br /> Address:' License'#.`(�.. <br /> OTHER <br /> SIGNATURE _ p ... <br /> "REGISTERED Y/ <br /> Y <br /> 7- <br /> Address r' <br /> - tics se# <br /> '_RE.SIDENTIAIz :�ltkaicti 2 Plot:1?tahs °2• f u1t'frt`" laii ` '{_) ;{ }sets iB d,gF' s;'(!°}setiof Ens =Fa'rms Ftd}=V1t`Perrt%itfa new construcSori, <br /> #,; .P :IiAintmumgten' ,working=dajisb iterusubmiftal=date.<'<Requlred 6Eslte; sttObt on Flans;StarmwiaterPlans-W/SIIE'Ferice installed," <br /> Co"..Sanitary Facil(Ues&1��dumpster,Site Vlloik,Perrr►lt.fo�4s,'ubdlvislons/large<proJects - <br /> COMMERCIAL Attach{3}AoomFpiete'sets'of Biiiiding-Plans plus a t:ife=Safety Page;{1}set of°Etierg}t Forms.R-0 W Permit for new:construction.- - <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary'Facilitles 1 dumpster.Site Work Permit far all new=proJects:,Al1 commercial requirements-must meet compliance <br /> ::,SIGN PERMIT Attach=2 sefs dfEiiin, <br /> «... �. _... _.......:.coon.. <br /> PROPERTY SURVEY r uired:for all.NEW cx�nstru <br /> '•dire_Gtlons: �.;; ;,_ . . _ -. <br /> FIII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> H <br /> _ Agent(for the�oontractor)'or`Power ofAttomey'(forttie:owner)`would be•someone with notarized letter from owner autliorizing-same <br /> OVER THE COUNTER.PERIMIT'iING-1 -;-:-{Frontof•Applica#on;Only}.: <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roaduvays::rieeds'ROW <br />