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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dale'Received -Phone.Contact for-Perrnittin 7 <br /> „t,Owner's:Name "1 r `d ner-Phone Number �' <br /> Owner's AddressUfiA6 �h r I Owner'Phone'.Number <br /> Own eePhoneNumber <br /> 77� <br /> 'SOB ADDRESS' Olt I �•i 1 LOT# 0� ' <br /> suebtu<sioN ( �i lh�v Ja .PARCEL `.-t l.0o...� -d0.41 Co. <br /> (OBTAIN ED<EROMP.RCPERTY3AX; OTICE) <br /> WORKPROPi}SEQ .. iVtW_CONSTR -.ADD/AGT._.' SIGN � "'DEMOLISFt':. <br /> i"�- ----ma�yy <br /> :.- ice!' <br /> f., <br /> e INSTALL. REPAIR <br /> PROPOSED USE. Q' SFR -Q .COMM: OTHER::: 7777771 <br /> ,.. <br /> : . <br /> TYPE OF CONSTRUCTION jQ BLOCjK FRAME'`` STEEL `,Q -� - <br /> DESCRIPTION OF:WbRK •l:"'0AW .\ '�S r 1 m V e'S C, &ICAMAJff av, 11RIVI✓ Y 1 <br /> • <br /> 2 s�BUtLDiNG,StZE SQ•.FOOTAGE• <br /> , ��X.�j tiL� <br /> i <br /> .rIW. BUILDING VALUATION CiF TOTAL'CONSTRUCTION; <br /> . <br /> =ELECTRICAL. $. AMP'SERVICE DUKE'ENERGY' <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION syp <br /> =GAS 0 ROOFING ,Q: .:,St?ECIA4TY.. OTHER . <br /> FINISHED FLOOR ELEVATIONS SAFLQOD`20NE^AREA: QYE&. NO <br /> t/OA <br /> . <br /> BUILDER �J � COMPANY, y n�i S ! <br /> SIGNATURE / REGISTERED :FEE: URREN;•,. <br /> Address' t 47 _ V u ,U License# .�tii✓�3,11 �; i <br /> ELECTRIt:iAN° . .cOMPANY ;., <br /> SIGNATURE REGISTERED' Y/"N:. ;'FEE CURR.EN. <br /> Address' -Lionse# 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y:/=N ayEECURR .'.Y%iNk:` <br /> Address <br /> • Licens1'''=`;':.`- <br /> MECHANICAL COMPANY <br /> SIGNATURE': . . REGISTERED' • Y/ N'' .. FEE CURREN. . 3 '•Y'/=N <br /> Address: License#: <br /> OTHER., COMPANY: <br /> SIGNATURE: REGISTERED .. Y,.7::N;,..: <br /> Address UceRse#: <br /> `of' ul iiin 'Plans 1;set bf Eire '>=orins R=Ottif Pe i for'new•corisiiuctioiir <br /> RE81DENrtAI' Attack( <br /> I I <...':; <br /> iUliriimum ten(1`0);inioriiirig dais'site'r`stitsrfii#tat:datea�:RgSii�ed onsite' nstriiction:Ptans;''Stormwater Plans vi+/' lit Fe_nce'iristaited; <br /> Sanitary:Fecilities.8;l.Wumpster,;Si(e Wtirk!Pemtit-'focsUbdiVf'sionsgarge proJeots' <br /> COMMERCIAL Attach(2)complete,sets.ofiBu3lditig Pians,,plus:a UW afety Page;,(1.)'.set-of!Ertergy.Famis.-R-O=W Permit for,!rtew;construction. <br /> 54 ' <br /> Minimum ten;(10),woiid.Mdays;afte utSn�i t�(;daf e:.;Require�K$ronsite:Constnictiorr;Ptanst Stbrmwater°Plans w/:S�it Fence',instalI d' <br /> SanttaryFacllftres 1 duriipstr.Sife�Nork Permit for altnew:proJects.All cammercial.requlrementsmust meet compliance <br /> SIGN PERMIT Attach(Z)M1sets:of E»gineeieii:Ptans,:... <br /> ....PROPERTYS;URVEY'required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Own6r;;&':C004ctor sign:back of application,notarized. <br /> 'if over$2$0t1;a N61:1"-bf Conintencer»en!Is requtied. (M. upgrades over$i7500) <br /> •` Agent(for the,contractor.)or.Power:of Attomey.> r the owner).would`be someone:with notarized-letter from'owner authorizing Same <br /> OVER THE•CQUNTER,P..ERMITTING. _•(qqp.jof.Qritracf,required). , <br /> Reroofs if shingles Sewers Service..Upgrad6-:A/C ' Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />