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Fax.813-7W-0021 <br /> 8l3ae0-0020. City of Zephyrhills Permit Application <br /> Building Department <br /> Date Received phone contact for Per ltg t � ) 72? <br /> OwiterPhoneNumber <br /> owners Name 7�e e — <br /> y��t f/ - .. ..ten - yr------ <br /> owner's Address <br /> 3�..J"9� eS ,jI t> l�, OvmerPhoneNumber t <br /> Fee Simple Tilieho►der Name Owner Phone Number' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 / V� Il LOT# . <br /> SUBDIVISION PARCEL eZ 'IDS o"/ S,0 f""� <br /> (0 TrAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NtWCDNSTR� ADDIALT [_�- . SIGN ❑' [❑ DEMOLISH <br /> INSTALL REPAIR , <br /> PROPOSED USE Q. SFR M 'COMM OTHER r <br /> TYPE OF CONSTRUCTION _ ❑ BLOCK ❑ FRAME STEEL�.{Q <br /> DESCRIPTION OF WORK ` ✓ <br /> BUILDING SIZE ( SQ FOOTAGE HEIGHT <br /> QBUfLDiNG VALUATIONOFTOTAt.CONSTRUCTION <br /> (ELECTRICAL S AMP SERVICE ❑ PROGRESS ENERGY Q W.R.E.C, <br /> OF'LUMBING ., S � <br /> GZIVECHANICAL 5 VALUATION OF MECHANICAL INSTAL CATION <br /> OC'•AS Q ROOFING ❑ SPECIALTY OTHER <br /> FINISHED LOOK ELEVATIONS �� ' "FLOOD ZONE AREA =YES NO <br /> _6441411". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER �r COMPANY <br /> SIGNATURE REGISTERED I Y 1 N FEE CURREN <br /> Address License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y!N I FEE cuRREn' Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE I t REGISTERED YIN FEE cE1RREn Y/N <br /> Address License#- —_� <br /> MECHANIC AL r COMPANY wile <br /> SIGNATUF REGISTERED I Y! N FEE CURREA I Y/N <br /> Address Ucense# , p 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREn LXLN <br /> Address License# <br /> III 1 1 1 1 1 1 [ 1 14 1 fi l l t vi 1'Cd i 1.1 1 l i f i 1 1 1 1 1-I f 1 1 l l t.l ! ( l 1 1 I1 1 if III III 11 1,1 1 1 1 <br /> RESIDENT-AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;RA-W Permit for new constivction. <br /> Minimum ten(10)working days alter r siibllitffal date.-Required onsite,Construction Plans,Stormwater.Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)Comptate sets of lauildinsr Plans plus a Litt Saraty Page;(1)set or Energy Forms.R-O-W Permit for now Construction. <br /> Minimum ten(10)working days after submfttat dete. Required onsita.Construction Plans,9t*rmwatQr Plans w/Silt Fence installed, <br /> Sanitary Facilities:&t dumpster..SRO Work Permit for all now projects.Ail commercial requirements must meet compliance <br /> SIGN PEwirr Attach(2)Sets of Engineered Plans;- <br /> PROPERTY SURVEY required for all NEW construction. <br /> d.i.a.ia. <br /> Directions; <br /> Fill ou application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a,Notica of Commencement is required. (AIC.upgmdes over S7500) <br /> " Agent(for the wntractoi)arPower'taf Attorney{for Ilia owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER.PERMrMMG ct(copy of cm*a required) <br /> Reroofs,if s;,ingles Sellers' Sarvtoe Upgrades A/C Fences(PIoUSUrvey/Footage) <br /> Driveways-Not over Counter if on public rcadways..needs ROW <br />