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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildk1s'Department <br /> Date Recelved ) <br /> Phone Contact for Pcarrnittin tp - <br /> ff fl n U It I i <br /> ::111 -- P R n Roro • • o • j <br /> Owner's Name Oa'aner Phone Number <br /> Owner's Address �/ � V` ill is Owner Phone Number � -!w mas <br /> Fee Simple a ftieholder mama Ouvner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 66 <br /> SUBDIVISION � �. PARCEL ray <br /> - -- - - - toemlmao wpnop�sRTV T tanTlCEr <br /> WORK PROPOSED ® drew CONSTR ADD/ALT SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK � FRAME STEEL <br /> 4 <br /> DESCRIPTION car-WORK r <br /> BUILDIVIta SIZc — -� SO FOOTAGE HE, 3I T <br /> =BUILDING $ t� �w VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE. PROGRESS ENERGY � W4R.E.C. <br /> ®PLUMBING $ <br /> =MECHANICAL is � VALUATION OF MECHANICAL INSTALLATION <br /> L <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS. FLOOD ZONE AREA YES. IvO. <br /> n=n—r n ., • n n n • n n _ n. .rt__n_n—n_�t_n—n ' <br /> ..e�Y��.� —_._.-�..�.�...��,.—_ ..-,,m,. :r'�.r'+"w"'W-�✓'W'"s'Wf_l._'.,--v—.ram—v^'y- N n <br /> BUILDER COMPANY � <br /> SIGNATURE )XVREGISTERED Y/ N PEE CURREA Li/NU <br /> Address License 9 <br /> ELECTRICIAN COMPANY ' <br /> SIGNATURE REGISTERED Y l W. FEEcustlxE1, Y!N <br /> Address L License io i <br /> PLf IAGER COMPANY <br /> SIGNATURE RaGISTERED LILN J FEE CURREI` LYLN <br /> Address License <br /> MECHANICAL G®r#tti'ANY <br /> SIGNATURE ftEG1STER60 L.14 1�d PE£cuRR51 <br /> Addrezz License; I <br /> OTHER COMPANY <br /> SIGNATURE E REGISTERED Y/ N FEE CURREr, Y/N <br /> Ad di License# <br /> AD ➢ DDf> DEDaDAD40 •➢ ➢ eae ➢ aD119 ➢ E ➢ ➢ ➢ ➢ @D86 ➢ ➢ QaD ➢ 4,l ➢ flda6Da ➢ ➢ G & OE1D9 ➢ ➢ aD ➢ 6aD <br /> RESIDENTIAL Attach(2)Plot-Plans,(21 sets of Building Plans;.(1)set of Energy Forms;,R=O-W.Parrnit for new construction. <br /> Minimum ton(10)workng days after submittai date, Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Worts Permit for subdivisions/large projects <br /> Gf3I'it7MERCIAL Attach(2j 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)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 Engineered Plans. <br /> **—PROPERTY SURVEY required for all NEW construction. <br /> Drractloris: <br /> -Fill out application.cornpletaly_ <br /> Owner c"Contractor sign back or application,notarized_ <br /> if over$2500,a Notice of Commencement Is required, (A/C upgrades over$7600) <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 COUNTED PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewer Service Upgrades A/C Fences(Plot/Survoy/Fcbtao) <br /> Driv�vno,�a-4Vot awox Couva4.cm+�o»Dub�io xc�dwev+�..r Si4'�i f '•,,,,\ <br />