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7J/ <br /> 813-780-0020 City of Zephyrhills PermitA_ppliCation j3 Fax 813-780-0021- <br /> a Building Department <br /> TAIV I u <br /> Date Received 7 <br /> Phone Con P..ermitting. � �J " <br /> OwneeiAame° ��- ��O Q- OVvner:Phane:Num6er b `. 77 ' <br /> Owner's-Address : c�7 � �'�'�`^� X W + Owner:PhoneNumber:•. :� :. <br /> Fee Simpte•TitiehotdefName �: OwnerPhorie Numtier, <br /> Fee Simple Titleholder Address. <br /> JOB ADDRESS. c�rJ 3� J) A ! LOT <br /> SUBDIVISION :FARCE111)#. 10—z*—v _?-'i'- <br /> (OBTAINSt1 FROM:PROFERTYSA(NOTICE) <br /> WORK PROPOSED NEW.CONSTR ,:..::::. ADD/ALT SIGN ,�--yy DEMOLISH <br /> e INSTALL. REPAIR' <br /> PROPOSED USE Q" -SFR• 0:: COMM f._ :.OTHER;.:.:5::_: <br /> TYPE.OF:CONSTRUCTION Q' t3LOCK* Q FRAME-- '' ' STEEL" " <br /> DESCRIPTiON:OF WORK.BUILDINGSIZE:,t�. :-SQFOOTAGE �` ��i.S HEIGHT:' _.- <br /> .. <br /> QSUILDING.:- $ / f VALUATION,OF.TOTALCONSTRUCTION.r <br /> [ELECTRICAL F AMP:SER\IiGE;:' 0. ,PROGRESSENERGY' Q W:R:E.C. . <br /> =PLUM61NG $ <br /> =MECHANICAL $ VALUATION'OF,MECHANICAL INSTALLATION , <br /> =GAS .56 ROOFING . 0";'-., ,.SPECIALTY.,-= ; ;OTHER. <br /> FINISHED FLOOR ELEVATIONS ELOOD"20NE AREA"" AYES _ NO. . <br /> BUILDER COMPANY <br /> SIGNATURE RECISTEREo :YT:N 7, -. FEE:'cuRBEn Y.7=N <br /> Add ress <br /> Iacense:#.� <br /> +I . <br /> ELECTRICIAN' 77 <br /> SIGNATURE =REGI5TEREDa Y%.,N. ..FEE;,C,URREtd :: YIN`..: <br /> Address License#;rr <br /> i�LUMBER COMPANY. <br /> SIGNATURE ;;: .'REGISTERED' ".'Y/;N.;> FEECURRBi— <br /> Address. . License. <br /> MECHANICAL; ::COMPAMG` <br /> SIGNATURE., <br /> Address._,. _ license#' � <br /> QTHER r ( , COM.PNIY <br /> SIGNATURE /�-, REGIkgAED` "'`.' -:"Y L':'N FEE CURReN' ;:Y,/iN"!i. <br /> Address. c f7 ;-:Ucense°# <br /> ,... rid::•.: -:s yu:i-" aa. <br /> RESIDENTIAL Attach'{2)Ptot.Plans;"(2)sets of-Building Ptahs;(I�):seCoi.Eti rgj!FocrosR O=IN�P? rmitf itpkWiggqA ruction;"'' <br /> Minimum ten(10)worki6g.days after submittai.rlate.:Required an;site;"Construction Plans;Stormwater Plaris:w/Sllf Fenc�insfalted„ <br /> Sanitary Facilities&1 dumpster,:Site.Work Permit'forsubdtvlslons/large•projects <br /> COMMERCIAL. Attach(2)`Goinplete"sets,of:.Building Pla"��rplus,at tfe SafetyiPag ;(a)"setof Energy.Fomis.,R:O-W._•Permit for new.construction.;. <br /> Minimum ten(10)working days after•submtttatdat&:'Regirlreit:onsite,Construction Plans;`:Stdrf6WdtW1Plans W/-SIItFbhb6'InstaNed,::" <br /> Sanitary,Faoillties&'1 dumpster::Site:Work<PeAit.far_all•newlpjgjects.Ail commercial-requirements must meet compliance <br /> SIGN PERMIT Attach(2).sets,of..:Englneered-Plans. <br /> —"PROPERTY'SUI2VEY required The all NEWconstructlori. <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. (AfC upgrades:over$7500) <br /> •" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER,P,EJ_RMITTING .(copy of.contraat te,qu!red): <br /> Reroofs If shingles; .°Senilce"Uligirades•,A/C;. Fences(Plot/Survey/Footage) <br /> Driveways-146t over Coantertf 66 public badways..-Meeds ROW <br />