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81780-0020 City of Zephyrhills Permit Application Fax-813-780=0021 \�� <br /> Building Department <br /> Date Received U <br /> Phone.Contagt.for Permitting <br /> Owner's NameSte <br /> :.:-.:...., <br /> Gd¢'a <br /> I .._ rti 1 Gk Owner Phone Numb <br /> Owner's Address 'T$'j ♦. Owner Phone.Numbor - <br /> Fee Simple Titleholder--Name Owner:Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT* <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED,FROM PROPERTY.TA TICE), <br /> WORK PROPOSED NEW CONSTR ADD/AL-T. SIGN. [ DEMOGISN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR 0: Comm [-� OTHER,- <br /> TYPE OF`CONSTRUCTION" BLOCK 0 FRAME -STEEL- <br /> DESCRIPTION OF WORK v-f'Fe,l01 ui:reePcn .1fd- E a.4- <br /> 8UlLDtNG:SiZE` ._ ., SQ FOOTAGE HEIGHT :� • <br /> UILDlNG. $ �-10 �I . VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ��� AMP SERVICE Q PROGRESS ENERGY <br /> PLUMBING $- /""� ` <br /> 0 <br /> f �I <br /> =MECHANICAL $ VALUATION-OF MECHANICAL INSTALLATION f�r <br /> it <br /> =GAS ROOFING Q SPECIALTY,.= OTHER ill <br /> FINISHEEYFLOOR ELEVATIONS FLOOD ZONE'AREA =YES NO ` <br /> BUILDER- a,f�j�t t COMPANY <br /> n paf�icK <br /> SIGNATURE REGISTERED "Y/ k,`,;: -..FEE:¢URREh- <br /> Address L License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURI= REGISTERED. Y/ N' FEE CURREI) IYTN.' <br /> Address- License-#. <br /> PLUMBER `COMPANY' <br /> SIGNATURE I YI'N' FEE-CURREh YIN::.::: : <br /> Address License#° <br /> MECHANICAL.' F COMPANY <br /> "SIGNATURE .'REGISTERED. I -Y/'N 'FEE CURRENT <br /> Address .License <br /> OTHER COMPANY, <br /> SIGNATURE REGISTERED Y.l_N FEE,CURREh _ Y/:N <br /> Address License.k <br /> ; . <br /> P..lot>Plans;:(2)sets of-Building;Plans;(1)aet of;Energy,,Porms;R;O,W Permit°fpr;new can'struction;." <br /> RESIDENTIAL Attach;(2). . <br /> Minimum ten.(-10}wrrrking days:after-submii#at date:•:R0uIt6dL hsile;Ganstrtic#ion Plans;'Stormwater`.Plans wi=5ilt'Ferice`.Installed, <br /> Sanitary.Facilities&Aumpster;,Site Work:Permit for subdivisionsAarge.projects- <br /> COMMERCIAL Attach(2)ocmplete.sets of:Building Plans plus a'Lif6:SafetyIPa6e;";(,1)set of Energy Forms:R-O-W Permit for new.construction- <br /> Minimum ten'(1a)woricing-days aftersutimlitol date:,:R@qulre =onsite,Canstruaffori'Pian"s;Stormwater Plays:wl;S(tt=Feace7ristaUed. <br /> Sanitary Facllitfes&'•1 dumpster.Site Work Permit for all new projects.All oommerclal requirenientsmust meet compliance. <br /> SIGN PERMIT Attach(2)-sets.of.+En6ineered Plans::,< <br /> 'PROPERTY.SURVEY.requiredfor.afl NEW 66nstruotion. <br /> fCtirecttons: <br /> Fill out application completely. <br /> Owner;&Contraotor�sign;back of applfcation,.notarized. <br /> If over$2500;a Notice of Commencement is required: (Aic upgrades:over$7500) <br /> Agent(for the contractor)or"Power of'A;ttorney-(for the owner)would be someone with notarized letter from owner authorizing.same. <br /> OVER.THE:COUNTER PERMITTING (copyof.contract.requlred)? <br /> Reroofs if shingles Sewers Service'Upgrades A/C, ' Fences-(Plot/Survey/Footage) - <br /> Driveways-Not over Counter if on`,pubfic roadways-heeds ROW <br />