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813-780.0020 City of Zephyrhills Permit'Application Fa*813-780-0021 <br /> Buiidtrtg Department <br /> Dale'Receiied .Phone.Contact.forPermittin . <br /> •Ownees,Name 4`��"r Cfwner Phone Number <br /> Owner's Address 7"�- ✓ a. -OWner .Phone:Number F :: <br /> Owner .Phone.Nuinber <br /> ''JOB ADDRESS' : OT <br /> "SUBDIVISION . �. � PARCEL ID# <br /> (OB.TAINED'FROMPRGPERrYTAX10TICE) f <br /> WORK PROPOSED e. NEW <br /> STR 0• ADD/ALT:._' :StGN C1, E31� ;DEMOLISH <br /> INSTALL. -REPAIR <br /> PROPOSED USE.. SFR- . ._ GOMM OTHER "' <br /> TYPE OF CONSTRUCTION'• Q BLOCK 'Q: FRAME:''` C STEEL <br /> DESCRIPTION:OF:WIDRK <br /> BUILOING.SIZE SQ,FOOTAGE HEIGHT,, <br /> -E'._ : <br /> 0 <br /> BUILDING'' $:• - .. ,.., . ..VALUATION OF,TOTAL CONSTRUCTION <br /> ELECTRICAL- $. AMP'.SERVtCE DUKE ENERGY`: 1N:RE.G: <br /> PLUMBING <br /> =MECHANICAL $: �— � + ' VALUATION OF MECHANICAL INSTALLATION <br /> =GAS -ROOFING -` :. -.SPECIALTY.- ,• •OTHER <br /> FINISHED FLOOR.ELEVATIONS r: �7FLOOD'ZONE'AREA [ YES : NO <br /> t. <br /> BUILDER COMPANY. <br /> SIGNATURE REGISTERED- Y/•N := FMCURREN:. <br /> Address' License-#;F7 i <br /> ELECTRICIAN° COMPANY <br /> SIGNATURE REGISTERED' Y/''•N.. .-` FEE CURRE�: :°: .:Y"/1N.. <br /> 77 <br /> r: <br /> Address <br /> j. 1. <br /> RI.UMSER = 'COMPANY <br /> SIGNATURE REGISTERED <br /> Address. License.#: ,4... <br /> MECHANICAL COMPANY [' <br /> SIGNATURE'' ,REGISTERED`. i Y=/ N '"FEE CURREN Y 11N'' <br /> Address,. <br /> OTHER COMPANY. -. . <br /> SIGNATURE'. REGIS'i'ERED :'Y/:•N;,..: ....,_FEE,CURRE�= :`,..: Y/;N;. •. <br /> -"Address License#:. <br /> f''Its<'. 1`.Set of>Ene Farm§'R=t•W Perini €or new consiiuctton <br /> RESIDENTIAi: Attach-i'plot.p] n's;(2}''Seis'of°i�uildhig'P> ... ,.(,) - I9y,.. ",, .<.z.#.. <br /> t�lini'eium teri F1`6)iwortiing=rinys`�ftr'stitirriittal8ate,"`.Rquitetl onsite;'Consrtictiori,i?ians,SormwatefPtansw%'SiitFerice'iristaited,' <br /> Sanitary:Facilities 8�; xdumpster;;Site.Work Permitfirr su6dtVistons/latge projects <br /> COMMERCIAL •Attach(Z}-compiete;s'sts•of,•:Building Plans;plus a.,t)fe;SafetWPage;(1}:set'of!Energy.Fohns.'R O:W Permit fdc new:construction: <br /> Minimum ten(1t))�nrQrking;days aftersulimittal datei tiReguJred Qnsite;Construction;PianstiStormwater;Plarrsw/;Sitt'Fence;instaiied " <br /> San itaryFacilities&1'Qunipstr.'SICeOrk Fserrnit for all new.proJects.All commerctal.requtreriients must meet compiianco .. <br /> SIGN PERMIT Attach(2)setsvf.-Engin„ewed-Plan&::.• :•.', <br /> .""PRO PER repuin3d for elf NSW cgristructton. <br /> Directions: <br /> Fill out-application completely. <br /> Own6i;&46otwtractor sign:back.of application,nota0zod. <br /> 'if over#250t1;a:Notice of'Coninien..... t Is required. (1 C.upgrades.over$7500) <br /> •• Agent(for thezontractor•)or.Power of-Atiornay>(for•the owner).wouI&be someone.with notarized-letter from:owner:authorizing same <br /> OVER THE COUNTERPERMITYING... (cop <br /> %;of contrast:requsrod}. , <br /> Reroofs if shingles Sewers §er,ice."Upgrades A/C Fences-(Plot/Survey/Footage) <br /> Driveways-Not ovar.Counter if on-public roadways..needs ROW <br />