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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Raceiveci* <br /> Phone Contact'for Permitting -. <br /> Owner's Name If / Owner Phone NumbV 97 Z Z--7/ <br /> 33-0 <br /> Owner's Address L- ,� Owner Phone Number <br /> Fee Simple Titleholder Name P Owner';Phone Number <br /> Fee Simple Titleholder Address <br /> (� J 9 / <br /> JOB ADDRESS G I d G.�U� Q- L., Z Ydt/�'� LOT# <br /> j <br /> SUBDIVISION PARCEL ID# <br /> i - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Kal SFR 0 Comm = OTHER <br /> TYPE=`OF CONSTRUCTION BLOCK Q FRAME L <br /> DESCRIPTION OF WORK rn W J "V-e C_ -64A-0�' <br /> .BUILDIPIG SIZE /v" SQ FOOTAGE[::::::::::� HE�IGHT <br /> 14 <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> § — <br /> 1_,^ELECTRICAL $ AMP SERVICE h� I /J� PROGRESS ENERGY Q W.R.E,C. <br /> "PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ,GAS = ROOFING Q SPECIALTY = OTHER / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER I COMPANY <br /> SIGNATURE REGISTERED Y-/ N FEE CURREN LILN <br /> Address License,# <br /> E <br /> d i <br /> ELECTRICIAN COMPANY L^rS[ CL. �� L � C <br /> SIGNATURE �� REGISTERED Y/ N - EE CURREA Y/N. <br /> i J / <br /> 'Address` � Z� it/ lei '� License# �rG ,�L '/-O <br /> P.LUMBER.,.. COMPANY. <br /> SIGNATURE REGISTERED 1(/'N ' FEE CURREN Y/N <br /> Address License# . <br /> .MECHANICAL COMPANY . <br /> "`SIGNATURE`` REGISTERED Y:/ N. FEE CURREN Y/N <br /> AddiMbs.,-° - License.-# <br /> OTHER;': ;A_:_ COMPANY <br /> SIGNATURg",,1 REGISTERED I.. Y/ N FEE CURREN <br /> a Address .. - µ License# —� <br /> RESIDENTIAL Attach',(g);PIofP.Iaris;=:(2)>sefs of Building Plans;(1)`set of Energy,Forms;R-O;W Permit,for new.construction;. <br /> =.3;'..,: z r.r,;:;;.:-;,Minimum'rten_(10)workingjdaysafte�sutimit#al iiate.:Requiretl'onsite;Construction Plans,`Stormduater Plans w/Silt Fence Installed,. <br /> °°:- � Sanitary,;Facititieis;&1�dumpster;SiteWorkµP..emtitfor,subdivis'ions/large?'pr_ojects;:- .' •'•• - • '- <br /> COIWMERCIAL At�ach"(Z)complete sets of Butltling-Plans plus:a=Life Safety-Page•,-( }set-of'Energy Eom[ss_- q-W Permit Eoc n_ew cons!!_ n_ an. �_. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SilfFence installed,. <br /> -' Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> IGN-PERMIT Attach"(2)'sefs.;ofEngineered Plans.;:.:•: <br /> PROPERTY SURVEY required for.all,NEW construction.. <br /> ':Directions: , .. .- _s . .• . <br /> Fill:out!application completely. <br /> Owner,&Contractor-sign.back of application,notarized <br /> if over,$2500,a Notfce.of Commencement is required. (AIC upgrades over$7500) <br /> Agent(fortfie con iractor)•or;Power ofAttomey(for the owner)would fie someone with notarized letter from owner authorizing same <br /> OVER`:THE;000NTER_-_PERMILTTING. _(copy.o_f-contract <br /> `sReroofs,ifsFingles Sewers ~" Seivice;Upgrades;ALC ,,,;Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on publib`r adways..h,dd is ROW- `? <br /> . ,,`,i i!;;(i�'• •ii a". - p <br />