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8.13-780-020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ✓ />^7 7 f 5 <br /> Phone Contact for Permitting 9 — 16 1 -7 <br /> Owner's Name Owner Phone Number �3� o�o� '16 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3q al'(o n S -c— LOT# <br /> SUBDIVISION ` //?�t�IS A{c PARCEL ID# t!oZ''Z�� a'�.-6oY�"C�Wo 0030 <br /> per, (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTRIn ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROP.OSED:USE SFR COMM = OTHER <br /> TYPE'.C1F CONSTRUCTION � BLOCK 0 FRAME Q. STEEL = <br /> DESCRIPTION OF WORK ��e � S4 r�+t��eg p►q�i( �s <br /> BUILDINGGSIZE SQ FOOTAGE ll'R6 HEIGHT <br /> =BUILDING $ /a so i= VALUATION*OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt` Y/N <br /> Address -License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> PLUMBER,;. COMPANY ` <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN " Y/N <br /> Address Liceft' # <br /> : `MECHANICAL COMPANY <br /> -SIGNATURE''', REGISTERED Y./ N FEE CURREI, <br /> Address ' • ; -License.#. <br /> COMPANYhC/D�l .i� <br /> :'SIGNATURE'.>.:r': (.• �a' !a' —3 . <br /> REGISTERED 1. Y/ N FEE CURREN Y/N <br /> Address License# L�e�'D 0371� <br /> ":RESIDENTIAL ;. 'Attach,'(2)PlofP.laris '(2)sets oflBuilHing Rlans;(1 .Permit,for new.constiuction, <br /> s, t;;ti f:;:, •^;Minimum;tenr(i10,,)working.days;aftersubmitta'I elate:rRequired`onsite;Coristruction'Plans;Stormwater Plans w/Silt Fence installed,. <br /> Sarntary;FaciliUes&1s dum stet;Site,Worfc Permit for..subdivisions/lar e ro sets'. <br /> COMMERCIAL Attach 2'com lets sets"of'Buildin Plans us a Life Safe Page; 1 set Energy Forms.R-O-W Permit for`new construction. <br /> O P 9 P tY 9 ;O gY <br /> Minimum ter%(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence,installed, <br /> Sanitary.Facilitids-&1 du►npster.Site Work Permit fof all-new projects.All commercial requirements must meet compliance <br /> ..SIGN:PERMIT AttacFi(2)sets of;Erigineered?Plans:: ... <br /> "*"*PROPERTY SURVEY[squired.fo[.aILNEW.construction..• <br /> :. . <br /> M Directions: <br /> F.,lVout-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•contractbr)ror Power`ofAttomey:(forthe owner)would tie someone with notarized letter from owner authorizing.same <br /> OVER:THE:000NTER PERMI RING...,..... .(copy.of ontract,required) <br /> ::'Reroofs if shingles Sewers SdrvIce'Upgrades'A1C Fences(Piot(Survey/Footage) <br /> Driveways;NotYover ROW <br /> ilk ,•�i•J,�;�,.�,.}„.:. •.( 1`" •'.`, ,.-. ,'.` <br />