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813-780-0020 City of Zephyrhills PermitApplication Fax-813-780-0021 <br /> Building'Department <br /> Date Received 'ZQ <br /> Phone Contact.for Permltttng <br /> ,.Owners Name' Owner;Phone..Number : <br /> Owner's°Address': ! ZL M 17W .� .•Owner,Phone:Number:.::.;F777 �t <br /> Fee Simple Titleholder Name: Owner:Phone.Numtter= .: <br /> Free"Simple Titleholder Address �// // <br /> JOB ADDRESS..: Ot1t'/L � i�t/ �� <br /> SUBDIVISION ,:. .PARGEL;ID#' <br /> +,(9BTAINED;F.R0M.0kb0E_RTY tAx N4TICE), <br /> WORK'PROPOSED' •NEW:CONSTR .<.:; :ADD/ALT SIGN rr y DEMOI:ISH <br /> .` .",.,. <br /> e -INSTALL . .:REPAIR <br /> PROPOSED USE 0. SFR 0.' COMM- .- :OTHER:':' <br /> TYPE.OF"CONSTRUCTiON Q' BLOCK` �+.'. FRAME'. ' :'STEEL . <br /> w <br /> DESCRiPTlON;QF WORK-, <br /> . . <br /> BUILDING:SiZE,_Eiv boI.,SQ FOOTAGE QD HEIGHf! :':- , - <br /> :u.. z- l <br /> 47 <br /> =BUILDING $ ... :, <br /> VALUATION OF.TOTAi..GONSTROCTION. 001 <br /> =ELECTRICAL $' AMP_SERVlCE:: 0: PROGRESS':ENERGY [�] Vl!.R.E:C.., <br /> RLUIOIBING $ <br /> =MECHANICAL $ VALUATION OF"MECHANICAL INSTALLATION. {" <br /> PA <br /> =GAS 0 ROOFING ,`}':_.;,.SP.ECIIALTY:;.=;] ;OTHER• . <br /> FINISHED FLOOR ELEVATIONS 'FL0 D26NE'AREA :=YES :N71 <br /> O <br /> BUILDER COMPANY <br /> SIGNATURE ,:REG1$Y1t O ;Y/':Na <FEEcuRaEn Y%'N. <br /> Addresslcense <br /> ELECTRICIAN` COMPANY.,,, ti <br /> SIGNATURE IREGISTERED' ^'Y'I-+N'. .,FEE.PVRREti <br /> Address License#,_ <br /> •PLUMBER C.OMPAN . , <br /> SIGNATURE ;. :'REGISTERED< YI,N FEECURREK <br /> Address . License <br /> Nt£CHANtCAIi. r <:COMPANY ; <br /> SIGNATURE r EClsisRE�' Y/ N_ FEE dUhREn` <br /> Address:..: ,. License;# s <br /> OTHER COMPANY''' <br /> SIGNATURE IieGisfieiit=o'` Y,t::N FEEcur[RriEsc> . .t, :<Y:/iN":':. < `� <br /> Address. ztacense' .:1:.,.. <br /> ,.; <� <br /> -.:,,_. - <br /> RESIDENTIAL Attach`2'PI&Plan a s;(2)•sets=�f:Buliding W!"hs;»(1+}het o{",En gy Forms;R 0=V1F Perri lt, :r.p anstruction., ' !.. <br /> Minimum ten(10)working.days after subniktaWate. Required onsite,'Ccristructits»Plans;Storinwater Pians:wl,Slit Fence;iistalled;: <br /> Sanitary'Facilities&1 dumpster;,Site.Work Permitfotsubdiyislons/large projects <br /> COMMERCIAL Attach compleWsets of:Buflding`Plans;plus a LiferSA'k., a je;(1)set of.Energy.Forms..R O-,W_P.ermit.for new construction.;_. :. ' <br /> Minimum ten(10).woik ng days`after sutirnittat date..'A6gt'rSfeif orisite,Construction Puns;'.Stermwafer�Plartsvir/Silt Fence hstalted;..:• <br /> Sanitary'Facilities''&'1`dumpster Site Work::Perrrlit:for_allnew-pM6cts.All oommerclal-requirements must°meet.compliance <br /> SIGN PERMIT Attach.(2).sets:of;Engineered Plans. <br /> ****PROPERTY"SURVEY required for ail NEWoonstruction. <br /> 'Directions: <br /> Fill out'applicatlon 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 authorizing same <br /> OVER:THE COUNTER PERMITTING .(copy-of contract required)-. <br /> Reroofs if shingles'; Selnrers, „ ServideUpgrades A/C..., •Fences(Plot/Survey/Footage) <br /> Driveways-Not over Couiiteiff on`pubI1ccroadways:,heedsk'ROW <br />