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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received :1.Phone Contact for Permitting — <br /> Owner's Name G6 Owner-Phone.Number, <br /> Ownees-Address : Z Owner.Phone.Number, <br /> Fee Simple'Titleholder-Name 71 OwnerPhone Number F <br /> Fee Simple Titleholder Address <br /> JAB ADDRESS "1 <br /> 1 Z,' CAI .-�64Z LOT# <br /> SUBDIVISION P.ARCEL:ID# <br /> (OBTAINED FROM PROPEIiTV TAX NOTICE) <br /> WORK-PROPOSED . NEW.CONSTR . ADD/ALT SIGN C) Q. DEMOLISH <br /> e- INSTALL REPAIR, <br /> PROPOSED USE Q SFR 0 COMM- OTHER . <br /> TYPE OF-CONSTRUCTION Q -BLOCK FRAME STEEL 0 <br /> DESCRIPTION OF WORK F' A.c, <br /> BUILDING SIZE SQ FOOTAGE EQ HEIGHT: �� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION, <br /> ELECTRICAL AMP SERVICE 0.., PROGRESS-ENERGY � W.R.E.C. <br /> L 490 Cr O] <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY, r_--j. OTHER <br /> FINISHED FLOORELEVATIONS FLOOD:ZONE AREA <br /> - . .!. <br /> r .BUILDER COMPANY ':Sf;,:^tat; K;,.5�'.51:{s <br /> SIGNATURE :REGISTERED. Y./..N-" ,;! :FE 'uCURtjEI� iYt;%sN:ry.f< <br /> Address License#; <br /> ELECTRICIAN COMPANY- =_ eu !,i!Pi...{ <br /> SIGNATURE REGISTERED. Y f N`_:_-.:_ rL4 FED CURRO- LILINIJ, <br /> Address 1 Csri t�, <br /> tLUMBER COMPANY <br /> .:SIGNATURE REGISTERED Y `N; ; ``FEF CURRE� <br /> Address "`License# <br /> MECHANICAL COMPANY ` <br /> SIGNATURE REGISTERED Y-7':N>;''' ` -FEE`CURREI� <br /> Address License#: <br /> OTHER. .COMPANY <br /> IGNATURE REGISTERED. Y/.:N;. FEE cuRREn <br /> Address License.# <br /> RESIDENTIAL Attach:(2)Plot Plans;(2)sets,of Building Plans;;,(1:)set,of;EneirgyjFomlS;R.O-W,:Permit for:new construction, <br /> Minimum ten(16)working days'after submittal`date.-Required`onsiie;Construdo'n'Plans Stormwater Plans•w/-Silt Fence:installed;. <br /> Sanitary Facilities&1,dumpster;Site Work Permit for subdivisions/large 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.constructlon:- <br /> Minimum ten(10)working d;iys�aftersubmittal,date:Required-onsite,Construction Plan%Storrnwater Plans.w/_Slit Fence installed, <br /> Sanitary Facilities&I durnpster.Slte,*Wlork Permit-fot all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets-of`Engineared°Plans. <br /> *""PROPERTY:5URVEY-required for,alLNEW construction. <br /> :YDirections: <br /> Fill out application completely. <br /> Owner&Contrackwsign back of application,-notarized.- <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)Or Power of Attorney(far"the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copyof contract-required). <br /> Reroofs If shingles Sewers Service'Upgrad'es A/C Fences=(PI6t1Survey/Footage) <br /> Driveways=Not over Counter,if,on public,roadways..needs ROW <br />