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813-780-0020 City of Zephyrhills Permit Application Fax 81a-7ao-0o21 <br /> Building Department `J <br /> Date Receiveii �-- phone Contact for Permlttin �/07 ��3� <br /> Owner's Name. OwneuPhone:Number.• <br /> Ownees,Address Owner<.Phone Number,,': <br /> Fee Simple Titleholder Name-` Owner PhoneNumbor' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS e bU°1� LOT# <br /> SUBI�VISION PARCEL.D# p OS 0 -C 70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED . e NEW-CONSTR B:- ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR, <br /> PROPOSED USE 'SFR'� _ OTHER <br /> TYPE OF'CONSTRUCTION 0 ' BLOCK 0' FRAME STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE : SQ FOOTAG HEIGHT'" <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION, <br /> . 71 <br /> =ELECTRICAL. , ' $'� AMP SERVICE 6C .PROGRESS.ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLA'T!ON'``"'''`- <br /> =GAS 0 ROOFING 0! SPECIALTY,: OTHER . <br /> FINISHED-FLOOR-ELEVATIONS, `FL•OOD20NEAREA. =YES":-'^+ NO!;� `' < <br /> BUILDER COMPANY <br /> SIGNATURE :REGISTERED Y./,,,N ?YNwrFE�uCl1RI Eta.:; <br /> Address kicense.#.:1- l�� <br /> z- <br /> ELECTRICIAN- � COMPANY <br /> SIGNATURE REGISTEREDE :CURRE�, Y/'N <br /> Address D o 36.E &515e f-herr F 70 It t t:icense# 1 c Ciao SAY 3 <br /> FLUMBER COMPANY <br /> SIGNATURE REGISTERED 'FEE'CUFLRE�n <br /> Address 'I:icense#1 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED . Y/•NT-14' -FEE'CURREh"'' Y•'/.N: <br /> Address License <br /> 9THER. COMPANY <br /> SIGNATURE : .4REGISTERED A, Y/W.,.•: _FEE CURREI, <br /> Address <br /> RESIDENTIAL Attach,,(2);Plot;Plans;.(2)setsiof,Building,Plans;�(1)',set gf,Energy Forms;Rat?eW:Permit:far:new_construc'Uon, <br /> Minimum ten(10)working days'after'submittal'date. Regalred onsite;"Coiisfrue on�Plans,'Starmwater 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 LIla,Safety:Page;.(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10):workingday§.after=s6bmittal date.,,Required onsite,Construction Plans;LStormwater 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-Englneered!Plans: <br /> ****PROPERTY+SURVEY:required.for,all.NEW construction. <br /> •"Directions: ' <br /> Fill out application completely. <br /> Owner&Contractortign.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 COUNTEWPERMITTING (copy'of'contract requlred) <br /> Remofs if shingles Sewers Service Upgrades A/C" Fences-(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />