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813-780-0620 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received PhonwContact for Permittin <br /> Owner's Name Coyo a e_ Owner Phone Number F/3 - 7�7' <br /> Owner's Address �qd l�) 7 "'g�/l g^/J �o�"� 0/2- %���°/1 �-�' Owner Phone Numb-or <br /> Fee Simple Titleholder Name" Sh1-4.Al- P. C-0l0 01/L- Owner Phone Number ?1Y- 7 A <br /> Fee Simple Titleholder Address A /V E,2 6.9 iv p T- l A 19'!-44 3 ?6, y 7 <br /> JOB ADDRESS (0 07 AID r74 9V4 z-f dh1 V4A1,Z4d S /eL 3 3 s V Z LOT# C� <br /> SUBDIVISION PARCEL ID# .OA- "7 b'�I- oa�r�J'-�aoc+c� - CEO l o <br /> (OBTAINED FROM PROPERTY,TAX NOTICE) - <br /> WORK PROPOSED NEW'CONSTR ADDIALT �' SIGN" 0 Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED:USE SFR Q -COMM OTHER " <br /> TYPE of CONSTRUCTION' BLOCK FRAME -STEEL Q. <br /> DESCRIPTION OF WORK -- �A 0 o F <br /> BUILDING SIZE' SQ FOOTAGE _� HEIGHT <br /> ., <br /> =BUILDING <br /> rrt. L1 a 0 _o U� VALUATION"OF TOTAL CONSTROCTiON <br /> =ELECTRICAL $ . AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ � VALUATION OF,MECHANICAL INSTALLATION' <br /> ou <br /> =GAS ® ROOFING Q SPECIALTY OTHER - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER CONIOMY, - 1ov✓F 0i~.IVZ/} - " <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN. <br /> Address L''icense.# <br /> ELECTRICIAN; <br /> SIGNATURE REGISTERED Y/ N FEE'CURREh <br /> Address <br /> PLUMBER ' COMPANY <br /> SIGNATURE'' REGISTERED Y./,,N!, •_t FEE:CURREK. L N.Jy <br /> Address _License.# �• <br /> MECHANICAL' COMPANY <br /> SIGNATURE' REGISTERED.. Y,/_N , FEE CURREP, Y%N:• " <br /> Address i Lice nse.#.F <br /> 71 . <br /> OTHER � - ;COMPANY . <br /> ;.. . :. <br /> SIGNATURE,: *-;,- REGISTERED` Y/ N:.-. 'PEE CURRE� Y/N . <br /> Address F License# F - " <br /> RESIDENTIAL;: Att4ch=(2),Plof Plans;:(2)sets bf:BiiildIhg Plans;°(1)set of Energy i=or�ns;'R`6_W.Permit for new coiastry,ction, <br /> Mlnlmum,.ten,(,1,O)Wgrking days:aftersubihitWi`date.,',:R6qulred onsite,:Constriction-Plans;,Stormw;ter'Plans-w/SIIt Fence installed, <br /> Sanitary Facilities;&;.1;;dumpster;Slte.Work�P ernI!t fbr,sUbdIVIsloniAargp..pr0jocts:`., <br /> COMMERCIAL Attach(3pcbnrpletesets'of Building Plans plus"a Life Safety Page;(1)set of Energy Farms.R-OW Permit for new construction. <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 meet compliance" <br /> SIGN PERMIT Attach(2}sets of EngineeredrPlans. - .. " <br /> ""PROPERTY SURVEY required,for ail.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$7500) <br /> Agent(for the contractor)'or Power of•Attbrfiey"(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER.PERMITTING -.-(Front of-Applicatlon-Only) -- .. " <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways'..-needs ROW <br /> I <br /> C" <br /> i <br />