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813-780-002-0 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> n� <br /> � F, I.... <br /> Date Received' �' U phone Contact forrrm Permitting ulww <br /> Owner's Name OwneuPhon:,Number.- <br /> FeeNumbe <br /> Owner's-Address : Co <br /> `�a r] : ��C' Ql Ut�i" Owner:Phon Simple Titleholder Name. OwneriPhone Number. <br /> Fee Simple Titleholder Address ff�� <br /> 408 ADDRESS -7 . V A .Cod i i EL 335`i�t <br /> Q LOT# . <br /> SUBDIVISION PARtEL,ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORT{PROPOSED . NEW.CONSTR ADDIALT �:: SIGN Q ] DEMOLISH <br /> R INSTALL .REPAIR.: <br /> PROPOSED USE Q SFR' 0 COMM­ 0. OTHER . <br /> TYPE OF-CONSTRUCTION Q BLOCK 0 'FRAME STEEL Q <br /> DESCRIPTION OF WORK t � � <br /> BUILDING SIZE . SQ FOOTAGE C HEIGHT <br /> =BUILDING $ 53/_ �� 5/3 . VALUATION OF TOTAL CONSTRUCTION, <br /> =ELECTRICAL .: $ +�► U AMP SERVICE Q.. PROGRESS.ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL{NSTAL'LAl`ION-''`"""• <br /> =GAS Q ROOFING 0; $PEC{ALTY; OTHER . <br /> FINISHED°FLOOR,ELEVATIONS FLOOD ZONE AREA =YES` ', " NOf <br /> r -BUILDER COMPANY y t� a `ti' :° ri;*k n .,z=i•: _ <br /> SIGNATURE REGISTERED: Y/•.,N• � ;r:FE `.QCWRRE�{.; <br /> Address <br /> ELECTRICIAN ..,COMPANY <br /> SIGNATURE REGISTERED Y/.N s: {, cIiRREn, Y/N' F. <br /> Address `.License <br /> fLUMeER COMPANY ;u <br /> ,IGNAT:URE REGISTERED LY''/'N;'_. FEE C,uRREN <br /> Address "'Ucenser# <br /> MECHANICAL - COMPANY <br /> SIGNATURE REGISTERED AY 6'N=° FEE CURREn <br /> Address License*. <br /> OTHER. COMPANY <br /> IGNATURE REC�I$TERED. Y i,Nc: .s FEE CURREN <br /> Address License,# <br /> RESIDENTIAL Attach;(2),Plot�Plans;.(2j Sets,of,Building Plans;,,(1);set,oUEnergy Fo"s;R•O-W;P.ermit focnow.construcfon, <br /> Minimum ten(10)working days'after-sUbmiital''-date.-Required'onsite;-Coris#Uaon'Plans.Stormwater Plans w/Siit Fence_instatted, <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:afterrsubmittai;datw-Required,onsite,Construction Plans;.Stormwater P{ans.w/Silt Fence Installed, <br /> Sanitary Facilities&'1 dumpster.Site Work Permit.for all new projects.All commercial requirements must meet compliance <br /> BIGN PERMIT Attach(2)�sets oflEngineered°Plans: <br /> ****PROPERTY+SURVEYTequlred_for ail,NEW construction. <br /> �4Directlons: <br /> Fill out application completely. <br /> Owner'&Contractor sign.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 letterfrom-ownerauthorizing same <br /> OVER THE COUNTEk-PERMITTING-• (i�6py-of,eontract=required) <br /> Reroofs if shingles Sewers Service Upgrades;A/C ;Fences`(Plot(Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW C_, . <br />