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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 Permitting — <br /> Owner`s Name. Own eriPhgne.Nifmtier<;': <br /> Owner`s Address jyiT P c Jh '.� :Owner.:Phan®Number:,. <br /> Fee Slmple'TItlBhoider Name Owner.Phone Wuml or <br /> F,ee Simple Titleholder Address. t7 i <br /> JOB ADDRESS - `ii1� 1 U LOi`#:' <br /> SUBDIVISION <br /> . PARGEL';ID#: .��/— 1*77 <br /> �,. <br /> -. ;, '(OBTAIMEDFROMiPROPER?i(:SAxNdTiCE)• ._, <br /> WORK'PROPOSED NEWGONSTR .::,.:.;'• .:ADD/ACT . SIGN' =0.. ': 'DEMOLISH <br /> e INSTALL .. ,:REPAIR ' <br /> PROPOSED USE SFR' Comm OTHER,i <br /> ' : ' <br /> TYPE OF;CONSTRUCTION �' BLOCK' _ FRAME': 0"' :STEEL <br /> DESCRIPTION;OF•WORK <br /> BUILD1Nq:SIZE, .SQ'FOOYAGE 1�� HEIGHT <br /> =BUILDING>_ $ r <br /> (i - VALUATION:OF.TOTAL:CQNSTRUCTION <br /> ELECTRICAL r$ AMPSERVICE% Q PROGRESS;ENERGY Q` W:R:E.C.f <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATlON.OFIMECHANICAL INSTALWION <br /> GAS ROOFING . ?s LSPECIALTY ?OTHER J <br /> o o • ' o <br /> FINISHED FLOOR ELEVATIONS "FLOOD ZONE-AREA AYES' NO. <br /> BUILDER COMPANY <br /> SIGNATURE "REGtS7ERED, i:Y%`N <br /> Address l:Icense:#..: <br /> .: <br /> t <br /> ELECTRICIAN' COMPANY <br /> SIGNATURE ::REGtSTEREDa Y'I':N . . :.. :,FEEc,URREK Y!'N.,.: <br /> Address <br /> „ <br /> PLUMBER (COMPANY. <br /> SIGNATURE REGISTERED' Y i..;N FEE CURREi` Y.J N:. <br /> Address . <br /> MECHANICAL: COMPANY <br /> SIGNATURE :REGISTERED ..' Y!'N' EEWkREI+' YJN":. : <br /> Address t:icense_#:' 'r <br /> OTHER. .. iM„PANY`.;t' �`. G <br /> SIGNATURE 1 :"REGtSTtcRER `: Y .N.; F,EE CURRE <br /> Ali!_ d/ t4411 AV '' /� license#. ! <br /> :i <br /> RESIDENTIAL Attach(2)Piot Plans;(2)'§etsof Building Plahs,(1s).set okEnig ,Forms;l 'O?VII;PermltiforiiewscofisfrucUon,::" <br /> Minimum•ten(10)working.days aftersubrWitatdate. Required onillbi-Construction°Plans;8t6rmwat6r Mails.*/Slit Fenowinstalied <br /> Sanitary Facilities&1 dumpster;:Site.Work Permit.,focsubdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of.Buildirig_Plans;plus_aLiferSaf sty`Page;.(1:).set of.Energy.Fomas..R:O-W_P.ermit for new:constructions <br /> Minimum ten(i0)warBing days aftdrsut�rfi ttat dat8:-`Rdquiretf'onsite,.Constructron Plans;StifrmW6tdrPlans.*i,Sflt Fe644nstalled- <br /> Sanitary`Facilities&`1`dumpster:Site:Work;Perrilit;foroil new.prajects:All commerciaCrequirements must meet.compliance <br /> SIGN PERMIT Attach(2).sets.of..Engineered Plans. <br /> "'PROPERTY'SURVEY required for all NEW construction. <br /> 'Directions: <br /> Fill out'appiication completely. <br /> Owner&Contractor-sign;back of application,notarized <br /> If over$2500,-a Notice:of.Commencement Is.required...(AIC 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 PERMITTING {copy of contract required) <br /> Reroofs if shingles Sealers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.-.needs ROW <br />