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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> z Building Department <br /> Date Received Phone <br /> "Contact forFermlt#lit " Ito� -� —"t of <br /> Owner's Name Ow or Phone Number <br /> Owner's Address Ow or Phone Number <br /> Fee Simple Titleholder Name _771Ow or Phone Number <br /> E <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �S Y1�{r h t t15, �=(. 33Sy a LOT# <br /> SUBDIVISION PARCEL ID# <br /> . OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW:CONSTR ADDIALT: � Q [� DEMOLISH <br /> ®: INSTALL REPAIR <br /> PROPOSED;USE SFR Q COMM. C� THER <br /> TYPE OF CONSTRUCTION Q BLOCK ' `[� FRAME _� ��] JIG <br /> T N`'EFL . <br /> DESCRIPTION OF WORK5���� It in c c t4 <br /> BUILDING-SIZE -1 � SQ.FOOTAGE= HEIGHT <br /> [BUILDING VALUATION 60 TOTAL-CON TRUCTTION <br /> QECECTRICAL Is AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> ®PLUMBING $ <br /> [MECHANICAL le VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I ]YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License J77 <br /> ELECTRICIAN <br /> SIGNATURE REGISTERED Y/ N I FEE:CURREh <br /> Address License#, <br /> PLUMBER.'. .. i~X�Lt-e- �C�.t St�v�- COMPANY <br /> SIGNATURE REGISTERED N, :''.,FEE CURREN„ N: <br /> Address '3{tom t� S'E z�Ah�fht{1S F-L- 335�1 �, License,# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED., /.N. FEE"CURREh <br /> Address <br /> OTHER ;COMPANY <br /> SIGNATURE. REGISTERED ' / N__ .FEE CURRM Y/N <br /> Address License#; <br /> RESIDENTIALn- _Attactr(2);PtotF?laa"s,.(2}sets:of>BulldingPlan"s''(1)'setaf•Energy-Forms;'Ft-0=WTPeimitfarnewtonsUvction, <br /> ;. <br /> Minimum;tep°(10):working days:after`subnilttai'date.;Reequtred onsite;:Const�ucUow-ans;°Stortnwater Plans w/Sllt Fence installed, <br /> Sanitary <br /> ' Faclllties&;.1 dunitpster,Site_WorkP„ermlt for sulidivisionsllargenprojcts > ;!;> <br /> COMMERCIAL Attach(3)66inplete sefs of Building Plans pills a'Llfe Safety Page;(1)set of Energy Forts.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constr ction Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new,projects::All co mercial-requirements.must meet compliance <br /> SIGN PERMIT Attach{2}"sets ofEngirieeredrt?lans.::. -:: <br /> ""PROPERTY SURVEY required for all NEW—construction. <br /> IT <br /> Directions: <br /> Fill out•applicatlon 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 cbntractor)ar'Power of Attorney•(for the owner)•wotild be someone with'notazed letter 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 /> Driveways-Net over Counter if on public roadways.*4 eds ROW <br /> �r <br /> i• <br />