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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting d <br /> Ownees"Naine OwnerPhone:Number,- <br /> Owner's=Address : 3("� 14 t OwnerPhone:Number " <br /> Fee Simple TitieholderName Owner.Phone'Number <br /> Fee Simple Titleholder Address <br /> JAB ADDRESS <br /> 1 u 4 re �.i 1- • rk;I IS �L 3 4 "LOT# 73 <br /> SUBDIVISION 'L E r_ PARCEL.ID# :•2 ,-. - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK<PROPOSED - e NEW.CON$TR 8 ADD/ALT Q;; SIGN 0 C]: DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR' 0 COMW OTHER, JQ1,v <br /> TYPE OF,CONSTRUCTION 0 ''BLOCK 0_` FRAME' STEEL ' 0 <br /> DESCRIPTION dF WORK W SG P o 60� W I Of 6 MOT Oec- (beW Zic_ b l <br /> BUILDING.SIZE �— SQ FOOTAGE 2-6 HEIGHT �� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION, <br /> =ELECTRICAL-; $; AMP.SERVICE Q;. - PROGRESS-ENERGY 0 W.R.E.C. <br /> QPLUMBING .7, f <br /> — <br /> L <br /> [MECHANICAL VALUATION OF MECHANICAL INSTALLAT O ', <br /> $ N' <br /> =GAS = ROOFING Q_. SPECIALTY:: OTHER- x <br /> FINISHED Fi:00R ELEVATIONS FL'OOD:ZONE"AREA- <br /> BUILDER COMPANY - L.; �/� .r'• `� n?•!Q I V.(n i..^J (+l�.s;' <br /> SIGNATURE :REGISTERED;-. F.. a URREt•,y: .s; Y.L;NaNt 3t <br /> Address PO 6 O /' License,#:TJ`.Gr✓ I_��(�Oi f Q) <br /> ELECTRICIAN COMPANY <br /> SIGNATURE': REGISTERED I Y/.Ns:_ LXLN <br /> Address License'# <br /> R-LUMBER COMPANY <br /> :SIGNATURE REGISTERED <br /> Address License# 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y'/-W;?�' •FEE'CURREN` Y/:N:_ '•.�j <br /> Address License#: <br /> OTHER. COMPANY <br /> IGNATURE ;REGISTERED Y/N,:-:•:-. _FEE CURREA <br /> Address License:#,- <br /> ... , <br /> RESIDENTIAL Attach:(2);Plot;Rlans;:(2);sets of iuilding Plans; gf,Snergy Forms;R -W rO -,ermit for new.construcdon, <br /> Minimum ten(10)working'days`after'submlttal`date:'Required`onsife;Corisfructlon'Plans,Stormwater Plans w/Silt Fence installed,, . <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsilarge projects <br /> CQMMERCIAL 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:aftersubmittal date.-:Required;onsite,Construction Plansi-Stormwate'r Plans•w/.Silt Fenceanstalled, <br /> Sanitary Facilities&I dumpster.Site Work Permit.for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)-sets of'Engineere&P.lans: <br /> "PROPERTY.SUR\EY-required for.all.NEW'construction. <br /> ------------------ <br /> •"Directions: ' <br /> Fin out application completely. <br /> Owner&Contraictorsign.back-of applicadon,-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(forthe owner)would be someone with notarized lefter from owner authorizing same <br /> OVER THE COUNTER-PERMITTING- (copy'of•contract-required) <br /> Reroofs If shingles Sawers Servlce`Upgrades-A/C Fences`{Piot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />