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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date ReceivedPhone=Contact for-Perrriittiie 7� —52J7 O ' <br /> Owner's Name tf 7 fe , />v;(J-/M e�_5.,b9c Owner Phone Number g/3 73'S2.S 0 <br /> Owner's Address '3J32-5 ZG• -Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E3Yr5-Q 11-A A in- , FL 33S q 2 LOT# <br /> SUBDIVISION PARCEL KW II:Z&�Z1-06 1 C1 <br /> (OBTAINED FROM PROPERTY,TAX NOTICE) _ <br /> WORK PROPOSED. NEW-CONSTR ADDIALT SIGN- Q' Q DEMOLISH <br /> INSTALL 8, :;.REPAIR <br /> PROPOSED'zUSE SFR- 0 -COMM-, OTHER <br /> TYPE OF CONSTRUCTION "BLOCK [_] FRAME r�7 STEEL Q <br /> DESCRIPTION OF WORK.' Y1614/ '(_0P7S-A/,t <br /> tt <br /> BUILDING-SiZE'' �?i S Ll.ith' L `;Y`l `SQ FOOTAGE'ISM ;HEIGHT.. <br /> EErBUILDING VALUATION OF TOTALCONSTRt1CTbN <br /> "ELECTRICAL - $ J AMP SERVICE ZUO d FROG S E ERG Q W.R.E.C. <br /> =PLUMBING $ ZZ LS��. bA <br /> []MECHANICAL $$ YALUATlON MECHANICAL INSTALLATION <br /> =GAS Q ROOFING :C] SPECIALTY, ] OTHER' df <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY'' 102 <br /> f�7`GlQ� <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N <br /> Address 3f ZS v Z O . dGf,` License#- 'ce -133Z gLjs <br /> ELECTRICIAitiI...: ' COMPANY ( S <br /> SIGNATURE C`^ � !'`�bZV GISTERED Y/ N FEE CURREN-s •Y/.N <br /> Address T9GJt�r` License.# Z C C?C�o <br /> �� �1_ COMPANY Cr�CI �N:t CZC..+ ✓ <br /> 1,u� <br /> PLUMBER (j1�t1A,t,�,. ,{,ti.�+ t <br /> —SfONATURE" `"T' D: N.' ;: . ,FEE CURREh,_ <br /> -REGISTERE <br /> Address )10% Vl S� iC Z_ M5 V—L 35 , ynoo­ <br /> se,# .C' �,i�t' St�� ► <br /> MECHANICAL- ' COMPANY: . �..?+�1� 151,. <br /> SIGNATURE' .� � .._.." REGISTERED._,. Y:/ N. . FEECURRE�, <br /> Addresa":. . Ill kri 2d/ :11t,`1t� �{'l Lice <br /> 3s'Jyr nse <br /> OTHER ;.' '•. - ~COMPANY.. .. . . <br /> SIGNATURE Y/ NI-_ FEE CURREn <br /> Address <br /> r �'�'" <br /> r. .� .License#�E <br /> A*N <br /> �... ,. <br /> RESIDENTIAL"- .,Attach,{2)•Plof Plans;:(2)sets:ofit3uiliitngy I?laris {1}sett of t:nergptFortns;'F2=OWPerinit for new construction,- <br /> Minlmum;tena(40},workingdoys aftersubmittai date::.Required onsite;;Constructton=P-ians;StormwatdfPlans w/Silt'Fence installed, <br /> �`," • Saniter'y Facilities ;1;dumpster,-Site Wotk.Perrnit#orsubdivisions/large':prolects •.,?>:•`'� <br /> COMMERCIAL Attach(3)°d6mpiete sets of'Baiiding Plans Olds a Life Safety Page;0)set of Energ,y Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo_r all new:prolects:.All commercial requirements-must meet compliance <br /> SiGN PERMIT Attach-(2)"sets of-Engine®ted,,Plans:;,::. s.=.`- •• <br /> ""PROPERTY SURVEY required for all NEW construction..-. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250%.a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> Agent(for#4 con traotor)'or-Power of Attomey'(fb the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING.. —_(Front of Application-Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..need"s ROW <br />