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813-78o=0020 G�Y- ity of Zephyrhills Permit Applicatio - Fax-sly-iso- 21 <br /> ...Building Department �^ <br /> Date Received &� -�� ] Phone Contact for Permi ng ('�Z t - <br /> Owner's'Name Owner's Address /a" f D S E S f cIg, IU/A Owner:Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7a`�0 A-GC lU�� z ,S � -LOT# <br /> SUBDIVISION PARCEL;ID# pO to -csa�co- daoe <br /> (OBTAINED.FROM,PROPERTY TAX NOTICE) <br /> WORK'PROPOSED R <br /> -NEW CONSTR=. ADD/ALT = SIGN ] 0 . DEMOLISH <br /> INSTALL. REPAIR - <br /> PROPOSED USE = SFR -0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME 0' STEEL Q <br /> DESCRIPTION OF WORK h � G Tll C� s <br /> BUILDING SIZE SQ FO,O'rAGE, .. HEIGHT• <br /> =BUILDING $ 02 60� � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMIDZERVICE Q PROGRESS,E 7R.E.C.- <br /> =PLUMBING $ . <br /> =MECHANICAL ; $ VALUATION OF,MECHANICAL INSTALLATION <br /> I <br /> =GAS = ROOFING 0. SPECIALTY 0, ;--OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES O q1 <br /> BUILDER COMPANY ' r C , zi <br /> SIGNATURE I "REGISTERED Y% FEE CU REN :/,N' <br /> Address License#p.: . <br /> ELECTRICIAN I' COMPANY <br /> SIGNATURE 'REGISTERED'" F,Y./ N- ,FEE C,U .En .;L._Y/.N-+J1 .. <br /> Address l l 9 3 3Z License <br /> PLUMBER f COMPANY <br /> SIGNATURE ; .'REGISTERED Y'/;N,-, FEE CURREN177 <br /> Address.. 6- License'# <br /> MECHANICAL COMPANY. <br /> SIGNATURE REGISTERED Y/ N j FEE CURREt, Y%N <br /> Address License# <br /> OTHER I COMPANY r• <br /> SIGNATURE REGISTERED.'• Y/'NC FEE CURREN :''Y'/iN ': 'r <br /> Address C.--. :License`# F <br /> RESIDENTIAL Attach(2)Plot Plans;'(2)sets of Building Plans;:(1:)set of Energy:Fohri R=O=VV'Permit for new•construction; <br /> Minimum ten(10)working days after submittal date. Required on site,Construction_Plans,S_tormwater Plans w/Silt Fence-installod,- <br /> --- —Sanitary-Fatalities-&-1'dumpster;Site Work-Perrnit for•sb6divi§ionsAarge projects <br /> COMMERCIAL Attach(2)complete sets.of:Building Plans�plus a L6'Safety-Page;(1)set-of Energy Forms.-R-O-W_Permit for new construction.. . <br /> Minimum ten(10)working days after submittal date:'Required`onsite,Construction Plans;Stormwiaiter Plans w/Silt FenciOnstalled, <br /> Sanitary Facilities&'1•dumpster.Site.Work!Permit for all•new.projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)setsof Engineered.Plans. <br /> ""PROPERTY SURVEY required-for all NEW,construction.' <br /> Directions: <br /> Fill out application 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 contractor)or Power of,Attorney"(for the owner)would be someone with notarized letter from:owner authorlzing:same <br /> OVER THE COUNTER PERMITTING' "{copy of:conttract required) <br /> Reroofs if shingles -SeWers Seryice=Upgrades,A/C Fences(Plot/Survey/Footage) <br /> et <br /> Driveways-Not over Counter if on public roadways::needs ROW <br />