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'813-780-0020 City of Zephyrhills Permit Application rax- rov-v�� <br /> Building Department <br /> Date Received ! Phone Contact for Permitting = <br /> e 5S�`i 05�� . ec S Owner Phone Number ��' <br /> Owner's Naii�e. l J � I . <br /> Owrier`';Ad <br /> dress?; 936 ` � VC c '�i 3 P Ovuner Ptiane Nurinber <br /> Fee Simple Titleholder Name Owner Phone•Number <br /> Fee Simpl®Titleholder Addressawl i <br /> LOT#.... <br /> JOB ADDRESSi.. U <br /> SUBDIVISION' <br /> PARCELL;:ID#; <br /> . (OBTAINED FROM PROPERTY TAX NOTICE), ; <br /> Wt)i3K=P[tQPOSEi):' ` NEW CONSTR ADD/ALT SIGN 0 MOVE Q . DEMOLISH _ <br /> e INSTALL R REPAIRICA <br /> PROPOSED USE - "z 0 SFR . 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLO FRAME Q STEEL OTHER r <br /> DESCRIP•TfON OF-°WORK (Y2pU� e Q W I Q c)k�, . i (j` a, <br /> BUILDING SIZE, :SQ;F,OOTAGE: HEiG'HT- F <br /> :.t <br /> '0 <br /> :.VALUATION::OFTt3TAL:.CONSTRt3GTlON .: <br /> 0 ELECTRICAL �( AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING $ i <br /> .Z2. <br /> 0 <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS : Q _ ROOFING : SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS- FLOOD ZONE AREA AYES C]NO';: <br /> BUILDER 112 <br /> - ._: a COMPANY <br /> - <br /> SIGNATUREC REGISTERED Y :N FEE CURRENT.,'. <br /> Address 3.�D S�� +"t �r l��� S Liisnse�#I �a C t 5 t'7.71:,. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE.GURRENT, Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# <br /> MECHANICALF7 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N ] <br /> Address License# <br /> SIGNATIJREcI _ REGISTERED YIN N FEE CURRENT,' LILLi <br /> Adihess .License: C _ <br /> RESIDENTIAL: Attach(2)Plot'Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,, <br /> Minimum ten(10)working:days after submittal date. ,Required onsi#e,Construction Plans,'S#ormwater`Plans w/Slit Fence Installed',- <br /> Sanitary Facilities&1 dumpster,Site Work Permit fbr subdivisions/large projects <br /> COMMERCIAL. "Attach(3}sets of Building Plans;{1}se#`of Energy Farms:R=O-W.Perrriit for new.Gonstruc#ion.: <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 inset compli Trice <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. . <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 over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <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 (Front of.Application Only) <br /> Reroofs "Sewers Service Upgrades. A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />