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813-78a-0020 City of Zephyrhills Permit Application Fax 813a80-a021 <br /> Building Department <br /> Date Received -Phona Coritact for'Permltttn <br /> —/ <br /> Owner's Nam® D f' tl a Owner Phone Number ! — 757 <br /> '1]Owner's Address a .50(li441,a 1Zj6141I-: Owner Phone Number <br /> Fee Simple Titleholder.Name . Owner Phone Number <br /> Fee Simple Ptleholder Address f �j <br /> JOB ADDRESS J5 �S {j ✓ LOT# C�. <br /> SUBDIVISION � � - PARCEL 10# 1; Q -0 <br /> STAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW:CONSTR AODIALT' SiGN` Q 0 DEMOLISH <br /> R <br /> INSTALL 8 . ::REPAIR <br /> PROPOSEDMSE SFR COMM, OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME [�_ STEEL <br /> DESCRIPTION OF WORK Gi') <br /> BUILDING SIZE' SQ FOOTAGE .,,HEIGHT-,� I -. <br /> =BUILDING $ � VALUATION 6F TOTAL CONSTRl1C'r10N <br /> =ELECTRICAL . _ $ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> r <br /> QPL MBING <br /> ECHANICAL $ .� VALUATION QF-MECHANICAL INSTALLATION <br /> f <br /> =GAS 0 ROOFING [�, SPECIALTY,-= ...OTHER, - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES. NO <br /> BUILDER COMPANY. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREt`Y/N <br /> Address License# l �� <br /> I <br /> ELECTRICIAN:. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK"' <br /> Addres:r License# <br /> _--PLUMrreo s._ COMPANY <br /> SIGNATURE" ' REGISTERED, Y./.-N FEE;CURREP Y/N: <br /> „ . <br /> Address Ucense,# . <br /> MECHANIC/1 COMii?ANY J/d Va C Ot�J <br /> SIGNATURE' REGISTERED... Y./..N. .: ,.. FEECURREN, Y•/,N ., <br /> s ­ <br /> Address,' e License#' .. e <br /> OTHERCOMPANY' ` '` <br /> SIGNATURE "REGISTERED Y/"N,_- FEE CURREN Y/N. <br /> Address License# <br /> RESIDENTIAL;,'_ . ;Attach-(2),PId Plans;:(2)sets=of:Buftei"ng'Pian's'(1)set of Ersergy Forms;.R-O=W Ferrriif for new construction, <br /> Minimumrten;(:10}working;4gys,ofter,'submlftal date.:°Required onsite;:Constni on Plans;Storn'wii6F ans w/Slit Fence installed, <br /> Sanitary Facllf,,ties.&1 dumpster•°SIte;WatkoP<ermit forsubdivisions/large'projects ' <br /> COMMERCIAL Attach(3y66mptete sets'6t�Biiildl-- Plans plus a.Life'Safetjr Page;(1)set of Energy Farms.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 ofEriglneered P.I4ns.:,: <br /> Y****PROPERTY SURVEY_.. _...._.._.__..required for_all_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 Attbmey'(for the owner)would be someone with notarized lefter from owner authorizing same <br /> OVER THE COUNTER PERMITTING .(Front of Application-Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DrlvewaWNot over Counter If on public roadways..needs ROW <br />