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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting41 <br /> Owners Name . -' l ' . i r � Owner Number. f�'— `f <br /> Owners Address[ <br /> Owner.Phone:Number <br /> Fee Simple Titleholder Name Owner Phone Namber <br /> Fee Simple Titleholder Address <br /> dOB ADDRESS JZ t C5 s�' f""C. > ' LOT# <br /> SUBDIVISION � '`�a - (3� 1,r�`il? Lt ii P_ARCEL.tD# .((� `�f ' j{� "' �' a3'" �� C3' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED.. NEW.CONSTR .. ADD/ALT �;. SIGN 0 C]. DEMOLISH <br /> R <br /> ; INSTALL 8 . .REPAIR, <br /> PROPOSED USE SFR'.- 0 COMM-, Q: OTHER . ,—t^C)C,"__ 771 <br /> TYPE OF CONSTRUCTION L_J ' BLOCK r- - 'FRAME, STEEL <br /> DESCRIPTION OF WORK h t t� � n t `7 S. 0 d i j <br /> BUILDING SIZE SQ FOOTAGE HEIGHT' <br /> =BUILDING $ 300 VALUATION OF TOTAL-CONSTRUCTION. <br /> =ELECTRICAL- . $ AMP SERVICE 0 PRQGRESS.ENERGY W.R.E.C. <br /> =PLUMBING <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ''4, <br /> =GAS ROOFING FT sPECIALTY.F----I• OTHER <br /> FINISHED FLOOR ELEVATIONS' FLOODZONE AREA. =YES':'' NOS• <br /> BUILDER COMPANY :icSZtr>: eft ?dau >s:r; <br /> SIGNATURE !REGISTERED.-. Y/..N• w FEE <br /> Address E icense# <br /> ELECTRICIAN COMPANY, :. <br /> SIGNATURk REGISTERED I Y/.N`;°= FEE`,' RREp, <br /> , <br /> Address 'CIcense <br /> Ij�LUMBER COMPANY <br /> SIGNATURE REGISTERED I Y'7 KN "''' `FEE G.U(RR�EN. Y 7 N':.. <br /> Address ;l idense'#-( <br /> MECHANICAL COMPANY <br /> SIGNATURE, REGISTERED Y/• N t.` -FEE CU(RRREEt,,�Y <br /> Address :.•LICenSe#: <br /> OTHER. COMPANY S►? ti� cOfC <br /> �SiGNATURE / '`�" cREGSSTERED. Y h-W -:FEE CURREI` Y <br /> cc�--�- ! <br /> Address i�i c .t !`}� .i -� License:# �� (`j j j Ct <br /> RESIDENTIAL Attach:(?).',Plot,Pians;.(2)setsof�Suiiding',Plans;,.(1),setof.Energy Forms;R O�W;Permit.for:new.construction, r . <br /> Minimum ten(10yworking days-eftor•subrriitwi date.-'Rt gitiredonsite,Construction Pians.-Stormwater Plans w/Slit Fence,lnstailed,, <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 construction: <br /> Minimum ten(10)working;days:after submittai,date. Required onsite,Construction Plans;Stormwater Plans.w/Slit Fence installed, <br /> .Sanitary Facilities.&'1 dumpster.Site Work Permit.for all now projects.All commercial requirements must meet compliance <br /> S..IGN PERMIT Attach(2)sets of'Engineered°Plans:' <br /> `*"PROPERTY:SURVEY required.for,all.NEW construction. <br /> "Dlrectlons: <br /> Fill,out appiication'completely. <br /> .,Owner&Contractorisign.back•of-applioation,-notadzed.- <br /> -if over$2500,:a Notice�of Commencement Is required. (A/C upgrades over$7500) <br /> Agent,(for the Cc Iltradtdr)or Power of Attorney(for the owner)would be someone with notarized lefter from owner authorizing same <br /> -OVER THE GOUNTER;PERMITTING (copy-of contract required) <br /> Reroofs'if shingles ,: Sewers Service Upgrades A/C Fences''(Plot/Survey/Footage) <br /> Orlveways-Not over`Counter if on public roadways..needs ROW <br />