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�-/O/O <br /> 8,13-780-0820 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> rrTT= ...... ....... 333;XE0333333=33XE0333333MM..... <br /> -3 OV)o <br /> Owner's Name fy*)P-\0<�, Owner Phone Number <br /> Owner's Address <br /> I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F39 c>c9, > Ave- LOT# <br /> SUBDIVISION F_ PARCEL ID#IFJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER I FeANC--e— <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK kT,cr, L,)W,vo—-il n �C__j <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> i i M V V i i i M i i i i M M i i S i R i I i i <br /> =BUILDING Lim rVALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL VALUATION OF MECHANICAL.INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I 114'1 111 1 111 l 1 11111!1!11 H 1111!111!!11 1!1!!!i H i H 11 111 111111111111 11 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I(X2 N FEE CURREN, L=/N <br /> Address License# F <br /> ELECTRICIAN COMPANY I . <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y L N <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y. N_j FEE CURREN L_YLN J <br /> Address License# F_ <br /> OTHER COMPANY Y&�kff fe-0 C_e <br /> SIGNATURE REGISTERED 102 N FEE CURREN <br /> Address 1301.3o G. License# i <br /> t"t 1-.11114 1 1+1 1 i 2 N N I M i 6 6 <br /> RESIDENTIAL Attach(2)Plot-Plans;(2)sets of Building Plans;(1)set of Energy 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 for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Bulldln'6�Plans plus-.a Life-Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working.days afterr;Ubmittal daite..,Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sa 6itary Facilities&11,dumoster.�SIW Work Permit foe all.new:priojects.All,commercial,requirements must meet compliance <br /> SIGN*PERMIT Attach(2)sets of Englqeerdd Plans. <br /> ""PROPERTY SURVEY:required for all NEW:construction. <br /> Filltbutapplication 9op)pIqte1y...,. <br /> Owner'A Con , of applicat6', <br /> 0,over.,$2560,a (A/C jjpqrades�over$7500) <br /> Agent(for the contradtoi):br Plower6fAt-tdividy(for the owner)'would Ue:som6one with notarized letter from owner authorizing same <br /> �.,GVEMTHE COUNTER PERMITTING_ .;(c9p y of.contract required) <br /> Reroofs if-shingles Sewers Servic I'e Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on publlc•roadways..needs ROW <br />