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• <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-78o-0021 <br /> Building Depaitrnent. <br /> Date Recelyed J _ <br /> r Phone Contact for Pemiitting <br /> — <br /> ■[[aaaa[, aaaaa, <br /> Owner's Name �c t( (1 e—�I'Q j Owner Phone Number <br /> Owner s Address O S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee-Sim pie,TitlehoiderAddress - ' <br /> �f , 1 I ,, I 22. <br /> JOB ADDRESS 5 I 'l� : I ISM� .S'.� Z�l �'l S `7 s d`'' :. LOT# D <br /> SUBDIVISIONONL PARCEL ID#.�� r'o�l0�al'�OO�OrO b �lilJ.�0d�0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED NW CONSTR 8 ADD/ALT' . Q SIGN = - Q DEMOLISH <br /> I REPAIR <br /> PROPOSED USE SFR COMM' = OTHER {'DO <br /> 0 0 ..-it <br /> e. .. J <br /> 0. 0 0 - <br /> TYPE OF CONSTRUCTION BLOCK FRAME • STEEL <br /> DESCRIPTION OF.WORK <br /> 0 e� Lvv er'. �cx' . .S n ro �eGk-i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT'l'� . <br /> S;-CC;-C;-C'C C;A C"C CC;;'CC;TC"><SC;CC";-CC-S-C;-C C;";";"l <br /> =BUILDING $' �T Cyr. VALUATION OF TOTAL CONSTRUCTION <br /> J VV <br /> =ELECTRICAL $ �O AMP SERVICE - . Q PROGRESS ENERGY Q W.R.E.C.. ' <br /> i1 <br /> =PLUMBING <br /> nol1�. <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '. <br /> r10�1P� <br /> =GAS ROOFING..= SPECIALTY = OTHER• <br /> FINISHED FLOOR ELEVATIONS FLOOD.ZONE AREA =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE. - REGISTERED V Y/N FEE CURREN Y/N <br /> Address. _ License# <br /> ELECTRICIAN <br /> COMPANY . <br /> SIGNATURE .. - REGISTERED -Y/N. FEE CURREN -Y"/N <br /> Address . <br /> License#, <br /> PLUMBER COMPANY. <br /> SIGNATURE " '. : 'REGISTERED -Y./'N FEE CURREN. L Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN' Y/N <br /> Address ' ' " ' License#' <br /> "OTHER ; COMPANY <br /> . .. .. SIGNATURE. .- - REGISTERED I Y/N FEE CURREN Y/N .. .. . <br /> Address. <br /> I'So `. b-A.e.— . License# <br /> a"�.a�aita.[aa [ata.araaaa.aaaaa �a�aaa.a�aaa�[ �aaaa�raait-aYaifaa�aaata_�aaa.��aa_ a_I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)'setof Energy Farms;R-O-W.Permit for new construction, - <br /> Minimum ten(10)working days after submittal date.Required onsile,Construction Plans,Stormwater,Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL. Attach(2)complete sets of Building Plans plus a Life.Safety Page;-(1)set of Energy Forms.R-O-W Permit for new construction.. <br /> Minimum•ten(10)working days after submittal date.Required onsite,Construction Plans,Stonnwater Plans,w/Silt Fence installed, <br /> Sanitary_Facilities&"1 dumpster.Site.Work Permit for all new projects.All commercial requirements must meet compliance, <br /> SIGN PERMIT Attach(2)sets of Engineered Plans.. <br /> • <br /> —.*PROPERTY SURVEY required for all NEW construction. <br /> Directions:! <br /> Fill out application completely. <br /> Owner.&Contractor sign back of application,notarized <br /> Rover$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 PERMITTING (copy of contract required) . <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over-Counter if on public roadways..needs ROW <br />