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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department Date Received .�•— Phone Contact far Permitting "l��ll <br /> b2 <br /> Owner's Name Owner-Phone_Number. <br /> Owner's:Address Owner.Phone:Numbeu <br /> Fee Simple Titleholder Name- Owner Phone+Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (�Vq Iq <br /> LOT# <br /> �-ace—dJ-V;?&O '- 05100 -0000 <br /> SUBDIVISION ARCEL P •ID# d <br /> ;. .. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORWPROPOSED NEW.CONSTR : ADD/ALT �:. SIGN. DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR': 0 COMM, 0; , OTHER <br /> TYPE OF-CONSTRUCTION BLOCK Q''" F E` STEEL [� <br /> DESCRIPTION OF WORK I�5 I I C7� P>!'t/ / r\ For' 1 r h+ 'I" n5 ; <br /> BUILDING.SIZE F_ SQ FOOTAGE HEIGHT' <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION, <br /> =ELECTRICAL AMR SERVICEb Q �.•, PRO.GRESS.ENERGY Q. W.R.E.C. <br /> =PLUMBING ($— <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY, OTHER . <br /> FiNISHE©FLOOR ELEVATIONS FLOODtZONE AREA. =YM$ ?; <br /> BUILDER COMPANY <br /> SIGNATURE ;tzEPISTERED. Y/.,N.~ •>C: tF cu i•. s,:kY;/.N z:a;. _ <br /> Address License'#,: <br /> ELECTRICIAN ��, COMPANY <br /> SIGNATURE REGISTERED Y J.N _,..x;a FEE,CURREA, ' Y/N <br /> FT <br /> Address P 1 � .��cr/ �( �Z771 'License`# '� I7001 <br /> G�3 <br /> o.`9YR'Yf <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y'%"N :" '`FEE'QURREN Y%N <br /> Address ^'License:#yl <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Yl'N ;`' •FEE CURREn' <br /> Address License# F I <br /> OTHER. COMPANY <br /> 1I1ONATURE :�RErisTERpp Y/. N, : .FEE CURREh Y/N <br /> Address Llce <br /> ... nse:#� <br /> RESIDENTIAL Attacth(2);Plot:Plans;:(2);;sets:,of,Building:Pians;(J:)set:of-Energy Forme;R-OM:Permit:for-new construction, :... <br /> Minimum ten(10)woridng days'after'submittal°date.`Re'quired`onsite,Construction'Plans,-Stannwater Plansw/Silt Fence;iristalled;. . <br /> `��anitary Facilities&1 dumpster,Site Work Permit for subdivislonstlarge projects <br /> DQMMERCIAL ttach,(2).complete sets of Building Plans plus a Life;SafetyPage;.(1)set of Energy Farms.R-O-W Permit for new construction:, <br /> tnimum ten(10)workingrdays.aftersubmittaLdate:rRequired,onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, . <br /> Sanitary Facilities&`i dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of`Engineered-P..lans. <br /> '•'•PROPERTYiSURVEYraquired_for411,NEW,construction. <br /> --------------- <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractorsign.back-of application,notarized-. <br /> If over$2500,a Notice of Commencement Is required. (A(C upgrades over$7500) <br /> Agent(far 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/G Fence's"(Plot/Suroey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> . t <br />