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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Ownees Name An ;2 3 t !1 Owner Phone Nurnbd 13' <br /> Ownees,Address 45 3 ; \ 3 Owner Phone Number _ <br /> Fee SlmplelTitleholder Name Owner Phone Number <br /> Fee Simple?Itleholder Address �, <br /> JOB ADDRESS So7J �r'd c h.' 1i��\ Er— �J3Syo�, LOT# G+ f--•� <br /> SUBDIVISION PARCEL ID# -f�—oo(e. d)_ 0 0) 0 a.(p -b()LO r> <br /> (OBTAINED FROAA PROPERTY IA.NOTICE) ' <br /> WORK PROPOSED NEWtONSTR D 4T 0 SIGN = = DEMOLISH <br /> ® INSTALL REPAIR <br /> PROPOSED USE = SFR ,. 0 COMM = _OTHER <br /> TYPE OF CONSTRUCTION QZ BLOCK [ FRAME 0 STEEL Q, <br /> DESCRIPTION-OF WORK � <br /> � �t 1 D <br /> cw <br /> BUILDING SIZE a� '$ X `►l r g soFOOTAGE �) HEIGHT 0r . <br /> ZT'B,bIL6ING $ VALUATION OF TOTAL CONSTRUCTION ' <br /> =ELECTRICAL $ AMP SERVICE Q /PROGRESS�V Q W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ q aDO VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO© � <br /> BUILDERi: COMPANY <br /> SIGNATURE REGISTERED'' - 'Y•/'M` —FEECURRW LY/N'J- <br /> Address License#- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE` REGISTERED- "Y'/'N FEE CURREN I Y/N— <br /> Addr'¢ss License#; ri <br /> 77 <br /> PLUMBER; COMPANY. <br /> SIGNATURE 1 11, 1 - REGISTERED• ' :,YY N Ir -FEE CURREK: '.Y/N,- <br /> Address Uce_ nse#. <br /> MECHANICAL COMPANY::' <br /> SIGNATURE:, _ `REGISTERED 1, Y./.N:'•: FEECURREN..-- J, YIN, , <br /> Address License# <br /> 07HER;,•j.... ..; COMPANY <br /> SIGNATURE REGISTERED I. Y/.N- FEE cuRREn,- ..Y/N - <br /> Address - License#. _ <br /> RESIDENTIAL' Attach(2)PIoQPlans;(2jsets.of Buildg'Plans;,(1.)set;of{Ehergy,Forms;_R=O;W,Permit for,riew.conshuctl8n;. <br /> Minimum ten`(40)w'orking'di ys after submittal date: Required onsite,Constiuc6on'Pla'tis;Stonnwate�Plans.w/Slit Fence installed,- <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivlsionsnarge projects <br /> COMMERCIAL Attach(2)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(1,Q)working days,pftersubmittal date:,_Requlf&onsite,Construction Plans,Sibrmwater Plans w/Silt Fenoe installed, <br /> SaNfary Facilities&1'dumpster.Site Work Permit for all new projects.All commercial iequlrements'musf meet compliance-'' <br /> 'SIGN PERMIT. '-Attach(2)se(s.of,Ehgineeretl;Flans.: ° <br /> ••"PROPERTY SURVEY required for all NEW,construction, <br /> Directlohs: <br /> Fill out application completely. <br /> OWner'8 Contractor sigR,back of applicatioo',hotadzed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> •• Agent(for the contractor),or Power-of Attomey,'(for the,ownerj would'be'someohe with notarized letter from owner,autho' ng same <br /> OVER THE:000NTER PER (copy.,of contradt required) . - <br /> Reroof§ifShingles Sewers Ser4ice`U"r is AlC;" 'Fence's'(Plot/Survey/Footage) }::• '. <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />