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813a80-0020 City of Zephyrhills Permit Application Fax-813a8tN0021 <br /> i Building Department <br /> f <br /> Date Received Phone Contact for Permittin <br /> �f►PTO r 3T - <br /> b�Y1 lh��: - Owne►PhoheNumber _ <br /> Owner's Name .r� <br /> Owner's Address Td`JO �� k?j fl Owner Phone Number <br /> Fee Simplo Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 2-9 <br /> � (� <br /> JOB ADDRESS as�-^[�tQ d )CLU __t��• -- - LOT# <br /> SUBDIVISION PARCEL ID# C32"2(c 2I 0010^60(960_Cyo1C) <br /> -- - _ (OBTAINED FROM PROPEM TAX N(YnCE)— <br /> WORI(PROPOSED e NEWCONSIR 18 ADDIALT SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR � � COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OFWORK 1n_qQ11t)- 1 m0f?0rra );f-SL <br /> BUILDING SIZE SCI FOOTAGE C� HEIGHT <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ - r}� �1 <br /> =MECHANICAL VALUATION OF MEcHIWir.AL INSTALLATION 614V �{�„t✓ <br /> =GAS Q ROOFING Q SPECIALTY L_.,..J OTHER All, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER f t 1�AfidY a •n.mt g- <br /> SIGNATURE REGISTEREDI Y/-N Me cua(xEn' L Y/_N <br /> Address "t . /stl�_l` Y�,Lf Cleanse^# <br /> ELECTRICIANE lF �OMPANY T) t. 'i r /� Cc' <br /> SIGNATURE 1 ' y "_ REelstsRED n Y t-N + CURREt.- Y1N.r. <br /> Address. 4l .t 1 I Q�xJ (-��k "' License# F� <br /> PLUMBER COMPANY <br /> SIGNATURE ' ""_—'' <br /> i <br /> - REGts'rsRED •,Y!N FEE'CIJRREA" <br /> Address License#F <br /> MECHANICAL - COMPANY <br /> SIGNATURE IYIN FEEC{iRREt. .'•Y7N <br /> Address - - ii License#F77 - <br /> OTHER - I I COMPANY <br /> SIGNATURE REGISTERED I Y 1 N FEE CU(R'REr'Y/N` <br /> Address License# <br /> 1111111111111111111011111g1i1111111111111111111111111111111111A11911 <br /> RESiOENTtAL Attach(2)Plot Plans;(2)sets of BuAdingiPfans;-(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)t vodang days after submittal date, Required onsite.Construction Plans,Stormuater Plans eel Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)wortdng days after submittai date. Required onsite,Construction Plans,Stomrwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpstec 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 required for alf'NEW constructan. <br /> ..-. . . . . . . : . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> ff over$2500.a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(fox the owrier)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs tf shmates .Si.errors Service Upgrades Aid Fences(PiotlSurveytFootago) <br /> Orivewrays-Not over Counter if on public roadways..ne JIs ROW <br />