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813-780-0020 City of Zephyrhills Permit Application Fax-813-750-0021 s <br /> Building Department n�y <br /> Date Received Phone Contact for Permittingg 6I3 <br /> tt111111 /- 1111t <br /> Owner's Name t1a11 Rxld, ner Phone Number <br /> Owner's Address d Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee SIM pie Titleholder Address <br /> JOB ADDRESS 6 f7 LOT# . <br /> SUBDIVISION F7 PARCEL ID# <br /> { " "(OBTAINED FROM PROPERTY TAX NOTICE) /,7'Z -I <br /> WORK PROPOSE , NEW CONSTR D ADD/ALT , SIGN = = DEMOLISH C/�' eft <br /> B INSTALL 'e REPAIR �� <br /> PROPOSED USE = SFR jj�L COMM = OTHER• D�)�r <br /> TYPE OF CONSTRUCTION 0 BLOCK• . 0.. FRAME Q STEEL 0 S I P� , I / �p�f C✓S <br /> DESCRIPTION OF WORK �125� /J �� �! CJ bj• z Pi <br /> BUILDING SIZE SO FOOTAGE HEIGHT - <br /> Y lGf GI�Gi <br /> $111LDING' $a/ Sb� VALUATION OF TOTAL CONSTRUCTION ['9/[n� � <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. ,v <br /> "PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION N" / � ba,Ott 4�`1 — <br /> =GAS = ROOFING = SPECIALTY = .OTHER TO Y 5 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA =YES NO ejo4 <br /> 41,4 <br /> BUILDER (Y� g0 COMPANY LI^' °Z>C�^� U� ov aFZfi✓ti � - <br /> -L <br /> SIGNATURE REGISTERED- .Y/ N:,}f FEE CURREn I YIN- <br /> _ . <br /> - T <br /> Address j�((oD s•e 5¢ v.'yi I' G✓rz•�'355;`j license#. .G �G- DlaG 22ri <br /> ELECTRICIAN COMPANY. <br /> SIGNATURE' REGISTERED Y/ N FEE CURREt. Y/N <br /> Address License# <br /> PLUMBER COMPANY' <br /> SIGNATURE "REGISTERED, I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I 'Y/ N�, FEE CURREN I Yd N = <br /> Address License# <br /> OTHER ,/- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N <br /> Address _ w License# 7. <br /> IIA 01,11 1,111A I;1 t 11 C4 t 1 1 11�1 1,111 1 t 1 1;'1 1 1.1.t._t 1, 1•1 1.1 1 1.1 t-t.4t 11-t 11 1,1 1J 1-1:1'1'.1 11 <br /> -RESIDENTIAL- Attach(2)�Pl6f Plans;(2ysets 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 onsite,Construction Plans,Stormwater Plans w/Sllt,Fende'insta Ile <br /> d;.' <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge projects. . <br /> COMMERCIAL Attach(2)complete sets•of Building,Plans plus a Life Safety Page;(11 set of Energy.Forms.R=O-W Permit for'new construction.., , <br /> Minimum ten(16)working days after submittal date. Required onsite,Constriction Plans;Stoimwater-P.lans w/•Silt�Fence.installetl,:;-'-' <br /> Sanitary Facilities&1 dumpster:,Site Work Permit for all new projects.All commercial requlrements must meet'compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans: <br /> —PROPERTY SURVEY required for all NEW constriction. <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$7500) <br /> Agent(for the contractor)or Power of Attomey(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 A/C ' 'Fences(Plot/Survey/Footage) <br /> Driveways;Not over.Counter ff;ori pu&ii.roadways..needs ROW e; <br /> ,•;V;.`.�.:,•ne_. `ice p <br /> _.,...... _...x..,a ..'.9.�...�,.:..... .. .......F �:.. .a fir,:o»-eP. .... <br />