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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 Permilfting <br /> /U rnbe, <br /> Ownses Name g, Owner Phone Nu <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F7� Z 3 I-Aolflk_ nvic-l(vor-lf (211 LOT# C� <br /> I <br /> SUBDIVISION F PARCEL[DO 3�-,2,6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSEM NEW CONSTRR ADD/ALT SIGN <br /> e INSTALL REPAIR DEMOLISH <br /> PROPdSED;USi Q SFR Q COMM, OTHER <br /> TYPE OF BLOCK ED FRAME STEEL <br /> CONSTRUCTION r <br /> DESCRIPTION OF WORK <br /> soIZE SQ FOOTAGE HEIGHT <br /> 71_F <br /> =BUILDING <br /> $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL 00 AMP SERVICE 0 PROGRESS ENERGY' W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL'INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY, OTHER <br /> FINISHED FLOOR ELEVATIONS FLOODZONE AREA =YES 00 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> .SIGNATURE REGISTERED Y! N FEE CUMjEh L_yj N J <br /> Address License# F <br /> ELECTRICIAN COMPANY fC- <br /> "SIGNATURE, REGISTERED Y/ N FEEcuRREN I 'Y/N, <br /> Address &1/1�_/i k) kJoense# <br /> PLUMBER COMPANY <br /> US <br /> SIGNAT RE REGISTERED FEE CURREN <br /> Address License# F <br /> MECHANICAL -COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly N_L_j <br /> Address License# F <br /> ,COMPANY <br /> SIGNATURE <br /> OTHER "..REGISTERED Y/-N FEE CURREN <br /> Address License#F <br /> RESIDENTIAL Attacp,,(2) En4r6y!Form;;,R.OW Permit for-new construction, <br /> Ow l pg,.days after.suo' eq ilrred.,6�sita,,00,ristruq dn-,0Ians'.`,Si6rm <br /> .Minimum ten.(10)-world <br /> rter Plans w/'Silt Fence installed, <br /> . Zr f <br /> Sanitary FaclII0qS`,4 I dts <br /> _p <br /> COMMERCIAL-' ,'.Attach(2)cot�p16644s '(1)1s6t6f Energy Forms.,R-O-W Permit for new Construction. <br /> dite.'kkiulred�dftlte? c0oh'Plans,Stormwater Plans w/.Silt Fence Installed, <br /> Minimum te�f,�,bj'"Mrg 0�yibfiiir s6bMitt6l. ,CbhdtijJ .. <br /> SanitaryFaculties <br /> Ides&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach,(2)sdta;bf Engineered,Plans. <br /> ****PR6?ER�,T!Y�qYRVEyrequireofor..Ikt;NEW.constru(;Uon. <br /> Dir <br /> 7 0FI'lot out application'compi <br /> Owriert Contractor sigrrbadW-bf,-a.pplicatiorti,notarized- <br /> Iflover$250%6!.NoUco'of.-'C�"M'M"'On'temoht is:rbqulrad...-%(A/C upgrades,over.$7500) <br /> Agent(for the contractor)o'iO6"f,ofAftomey,(for the owner)would be someone with notarized letter from owner authorizing same <br /> k <br /> 'PERMIT (06 <br /> OVER THE COUNTER ,,.ri py,of contract required) <br /> Reroofs If shingles Sewers' Service,Upgrades A/C Fences(PloUSurvey/Footage) <br /> DrlvewaWNofov&CountefIf.on O.tkbllr,,,roadWaysi.neads=ROW <br />