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813-780-0020 City of Zephyrhills Permit Application FaX�sl3aso-oo21' <br /> Building Department <br /> Date Received " <br /> r v ,.Phone Conta t.for P, _. fitting. —.r... j- ;:); ::• <br /> �. - <br /> Owner's Name Phone Numbere< <br /> 'owner;4 <br /> OwneF's'"Address t7 !' f -">:" OwniWlphone•Number :"x'= _s <br /> Fee Simple Titleholder Name "Owner Phon®'Numbsr <br /> Fee Simple Titleholder Address <br /> �" <br /> JOB ADDRESS D� - / YI. � .,'.LOT#� <br /> SUBDIVISION: . :. ;-PARCEL ID#_i <br /> y ,(OBTAINED'FROM':P,ROPERIY-TAX.NOTICE).. <br /> WORK=PROPOSED NEW:CONSTR;. ," :'.:,ADD/ALT 0 :,SIGN r.0 ;0' .:DEMOLISH , <br /> . - .'INSTALL.•. .:. REPAIR <br /> PROPOSED USE SFR'. COMM , OT.HEK`: _. . <br /> 0" <br /> TYPE OF CONSTRUCTIONBLOCK " FRAME STEEL'r <br /> DESCRIPTION OPWORK•' l� <br /> BUILDING.SIZE �v :SQ FOOTAGE. <br /> BUILDING $. VALUATION.OP7OTALCONSTRUCTION <br /> 2,0 . <br /> =ELECTRICAL-". $: 'AMP`SERVICE 0- PROGRESS ENERGY-. `.;Q-. ; W.RX.C. , <br /> pCUMBING'' $ <br /> =MECHANICAL $,,: VALUATION OFNECHANICAL.INSTALLATION, Z��G <br /> =GAS = ROOFING 0'• SPECIALTY.- =< _ .-",OTHER.: <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ,NO' <br /> BUILDER. COMPANY" C% 7 • ,!� (/ Cam. <br /> SIGNATURE "•REGISTERED ' Y•1'-N:• ':*" TFEE'CURREK,; `- ''Y1[N;"= i <br /> Address- C License# �: L~ <br /> ELECTRICIAN': COMPANY <br /> SIGNATURE REGISTERED' Y/-'N ' FEE`CURREN�'.+ Y•/'N ,,a <br /> AAddress" " .-License:# <br /> PLUMBER „ COMPANY <br /> SIGNATURE REGISTERED : :,.::,.:: „Y:'/.."N- F.EE:CURRER;. :':Y'/,N`,'`- <br /> "Address,: License.# . <br /> MECHANICAL COMPANY. <br /> "SIGNATURE, . ,-_- _ s" REGISTERED. _ . Y/_;N, FEECURRE� :YTN <br /> Address <br /> . r "'.License#:•: • <br /> OTHER COMPANY . <br /> SIGNATURE' REGISTERED Y`/`N``.'-' '' . FEE CURREK` '_' : Y <br /> Address License:#.: ;t <br /> RESIDENTIAL A$acFi'(2j',PIoYPlans;(2)'sets:OfBuildtng.plans,(1:)setof�Energy+Forms;'RHO=W:�ermit;fornew'construction; :,;;-. <br /> Minimum ten(10)working.days after.submittatdate. Required onsite,'Construction Plans,Stormwater.Plans-w/"Salt Fence=installed"; <br /> Sanitary Facilities&1 dumpster,Site Work Permit for,subdivtsionsHarge projects. <br /> COMMERCIAL Attach(2)completesets;of:Building PlansIplus;a'Life`Safety'Page;.(1)"set of•,EnergyAForms.'R=0-W:Permit-for new,constructfon <br /> Minimum.ten(1djworking days aftersubmtttal.date.,Required'onsite,,'Constiuction`Plan's;Stomiwaterplans'w/Silf"Fence installed,- <br /> Sanitary",Facilities;&i;dumpste[;Site,lNork:Perriitt for all;new projects.All commercial_requlrements;must meet compliance . <br /> SIGN PERMIT Attach(2)sets;of Engineered Plans: <br /> •'•*PROP'ERTY"SURVEYrequir`ed for•all'NEW"construction. <br /> Directions: <br /> Fill:outapplication completely. <br /> Owner&Contractor sign.back of application,notarized <br /> If over$25u0,-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 not arized'lefter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy-of contrac6r'equtred)- <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />