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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact`for Permitting ' -613 zl0 <br /> f <br /> Owner's Name 1�Y3 6'` l` y- &/ Owner Phone Number <br /> Owner's Address 5^ ! a T" . T Gt!`ll Owner Phone Number <br /> e , <br /> Fee Simple;Titleholder Name Owner Phone Number" <br /> Fee SimpleTitleholder Address <br /> JOB ADDRESS 2 T 4 _4F Zs /� /`Gi `!t r /z -33SY LOT# <br /> SUBDIVISION. PARCEL ID#- <br /> f (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED . NEWCONSTR' ADDlALT 0 SIGN 0 = DEMOLISH <br /> = INSTALL e :REPAIR <br /> PROPOSED'USE _ SFR -0 COMM 0 OTHER <br /> TYPE'OF CONSTRUCTION BLOCK - 0 'FRAME = STEEL = <br /> DESCRIPTION-OF WORK r�� v'1,16 <br /> BUILDI : E ZO'� <br /> PIG SIZ SQ FOOTAGE HEIGHT <br /> «; .. LL Q <br /> =B,UILDING. $ VALUATION'OF TOTAL CONSTRUCTION <br /> I <br /> ]ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> I <br /> =P,LUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY. = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :.BUILDER COMPANY <br /> 'SIGNATURE REGISTERED Y/ N_J, FEE CURREN LLLN <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> ::SIGNATURE REGISTERED Y/ N • FEE-CURREM. LLLLN. <br /> Address License* f= <br /> PLUAABER. COMPANY .: <br /> SIGNATURE ' REGISTERED Y/:N. FEE CURREN Y/N <br /> { <br /> Address License k. <br /> ;`::..MECHAMCAI: COMPANY <br /> ; SIGNATURE` REGISTERED •Yhh/ N . s FEE CURREK. .' Y/N <br /> Addf6ss-_••:. F77 �/C r . L'icense.# <br /> OTHER'~ .: COMPANY <br /> SIGNA REGISTERED Y/.N FEE-CURREN" <br /> EE CURREK Y/N <br /> Addr6ss � .7.rSfoJ�. •e J"". .Li rGi�`(�S 3'cZ; � � Liberise'# <br /> ' RESIDENTIALY.;,,;"'i4%gh 2 Plot`iP:,lans' 2 setsof Buildiri';'Flans 1-•set of,Efidr'' Forms R-0-V11 Permit orriew,coristniction,., <br /> '? a <br /> ;:fVlinimum<tj n_(�10)qvi!arking°days:aftecsutiinittal ilate.sRequired'onsite Construction'.Pla'ns,StorrtiwaterPlans wGSilt Fence installed, <br /> y; rt<.. SanitaryF�acilides&1 dumpster,Site Work l?ermiE.forsubdivisionsliargeprojects`.°; ': <br /> ;COMMERCIi4L Attach(2)wmplete 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)working days after submittal date. Required onsite,Construction Plans,Stonowater Plans w/Silt Fence.installed, . <br /> Sanitary Facilities&1 dumpster_Site Work Permit fo.`aIIIneuv_projects.All commercial requirements must meet compliance <br /> N PERM IT Attaoh"(2)'sets:.of.EngineeredjP.lansi <br /> ...,PROPERTYSURVEY_requ(red_for.all"NEW construction.:_ <br /> ;.Directions: <br /> Fill:out?application completely. <br /> owner';&:Contractor.sigwback.of application,notarised <br /> If over,$2500;_a NotiowofCommencement Is required. (AIC upgrades over$7500) <br /> Agent'(for'the'--contractor)*orPower of'Aftomey(for the owner)Would'l a someone with notarized letter from owner authorizing same <br /> �?;-_;OVER%THE COUNTER"PER AAAITTIN,G;, (copy.of,contract,required) " <br /> Re�oiifs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public_`• <br /> .. ___............ . •-•�•° •d. `.' roadways::needs ROW• <br />