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813-78MO20 City"of Zephyrhills Permit,.-Application Fax-813-780-0021 <br /> Building,Department <br /> Date Received Phone Contact for P.,ermitting: <br /> Ownef's'Name / ! „s .. OwnerRhori®..Numb'ei•'> : . <br /> Owner's Address V C G V/ ILf�/. Y ::_Owner one Number: <br /> Fee Simple'Titiefiolder Name Owner Phone Nurni orr. <br /> Fee Simple Titleholder Address. <br /> JOB ADDRESS t5 V ! 11 LOT# <br /> SUBDIVISION ..: PARGEL;ID#. <br /> (OBTAINED.FROM,PROPEKTY TAX,NOTI'dEI <br /> WORK PROPOSED NEW:CONSTR ;:..:; . - .;ADD/AST" " SIGN: DEMOLISH <br /> ` <br /> e INSTALL.. ".. REPAIR, <br /> PROPOSED USE Q• SW Q COMM "i_ ..OTHER.',: _^A <br /> STEEL•TYPe;OF-CONSTRUCTION Q' BLOCK: FRAME'Q r0 r : ., y: . ..: <br /> DESCRi ,TiON;OFWORK. Cr�. <br /> BUILDING:SiZE i5:V SQ FOOTAGE HEIGHT..L =. <br /> • <br /> =BUILDING-. $ <br /> VALUATION:OF.TOTAL.GONSTRUCTION , <br /> QELECTRiCAL $ AMP SEit=VICE. ".. PROGRESS ENERGY [ .. ° "W:R:E.C. <br /> QRLUMBING $ <br /> QMECHANICAL $ VALUATION OF.MECHANICAL IN r <br /> =GAS ROOFING Q :.•,, SPECIALTY:".C] :"::OTHER. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE`AREA-_ : -YES, NO. <br /> :1 <br /> BUILDER "COMPANY <br /> SIGNATUREWA REGISTERED ::Y%''aN#-• FEECURRE�' Y/=N.'<``. <br /> Address !? r. . {acense#: <br /> ELECTRICIAN• -`.COMPANY <br /> SIGNATUR9 "REGISTSMW ,,`Y,/`aN•. ' ,FEE=C,URREK < :Y/'N;"•_- ., <br /> Address License#, <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED - Y./..;N,:,: FEECURREK ":::i:"::Y:/N`: <br /> Address License. <br /> MECHANICAL > :.COMPANY <br /> SIGNATURE REGISTERED YY'N' FEECORREW <br /> Address: . :t lcense.. ; <br /> OTHER ,. .t COMPANY,: <br /> SIGNATURE REGiS7•i3' y/ N;:: FEE cURREh: <br /> Address, <br /> RESIDENTIAL Attach'2".PIot-Plarii'is=""2"sets=cf'Btiiitd[rti v Plafis•:1+ set'ot,Erie` Foans WO',N P rriiiE=l c:newrconstrii ion <br /> Minimum"ten(10)working.days after submittal-.date. Required onsite:'EoristrOction Plans,"Stormwatee Ptans:w1 Silt Fence-installed;° <br /> Sanitary Facilities&1 dumpster,:Site.Work Permit;fo[subdiogl nsfiarge.projects <br /> t COMMERCIAL Attach"(2) omplete sets;of::Building'Plans;piusalite Safety:Page;(1:).setof Energy.Forms.:R-O-W.Permit,fbr new.constt.updbn., <br /> Minimum ten(10j working days after suhmittai date:'`Requfied:bnsite,.Construction Pans;""StotmVi+afer Plans uirl Silfi:Fencesihstaiied;: <br /> SanitaryFacilities&'1':dumpster:'Slte WorkPerrhit for.all-newprojects.All commercial requlrements must,ineet.compliance <br /> SiGN PERMIT Attach'(2).sets-of.Englneered 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 ls.required.:.(AtC'upgradss: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 PERMITTING required) <br /> Reroofs if shingles 'SeG(i�ris' Sery ceUpgrades`A%C:' .'Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if'ori`publid;rdadways..needs ROW <br />