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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date,Received ' �j <br /> r Phon/e.Contact--for Perniltthi41 <br /> Owner's Nam® / e oU/ V j be-!icA f Owner Phone Number -0_ 7 <br /> Owner's Address a l r"ly .(/ Owner Phone Number <br /> Fee Simple=TltlehoiderName Owner Phone Number <br /> Fee Simple;Titleholder Address <br /> JOB ADDRESS r f LOT# <br /> SUBDIVISION yr./l j �1�� � PARCEL.ID# � � �I <br /> (OBTAINED FROM.PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q [� DEMOLISH <br /> e.. INSTALL 8. ,: REPAIR <br /> PROPOSED,-USE [ SFR• Q -COMM ' OTHER <br /> TYPE OF CONSTRUCTION 0 " :BLOCK FRAME STEEL 0 <br /> DESCRIPTION OF WORK•' /' l '44'?17 1 / <br /> BUILDING SIZE` f/ S4 FOOTAGE ^�. .., „HEI,G <br /> / <br /> FiT <br /> QBUILDING VALUATION:OF TOTAL CONSTRt1CT10N <br /> QELECTRICAL $ AMP SERVICE. 0 PROGRESS ENERGY 0. W:R.E.C. <br /> QPLU BIND �%V G <br /> s L <br /> MECHANICAL $ VALUATION OFWECHANICAL INSTALLATION J <br /> QGAS 0 ROOFING _0.' SPECIALTY.:.=,�, _:OTHER - l <br /> FINISHED FLOOR ELEVATIONS FLOOD BONE AREA [ YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP <br /> Address License <br /> ELECTRICIAN ::COMPANY'' <br /> SIGNATURE " REGISTERED Y/ N FEE CURREN' <br /> Address License# <br /> _-PLUMBER _ � M COIMIRANY , <br /> SIGNATURE' REGISTERED;; - ,Y/,.N FEE;CURREP'. Y/N. <br /> Address L Ice nse,#. <br /> MECHANICAL ' _ ,CONfPANYr: f�%Ji?{C!n%t •: i 1?�t�, <br /> SIGNATURE !REGISTERE�r,.' / 2Y/. FEE CURREP:. <br /> Address �✓ G ,,. f> . `� C.J � 1' ,License <br /> OTHER s, �COMPANY` <br /> SIGNATURE :`_ REGISTERED'" ` ' Y/ N.:.,.= FEE CURREM1' Y/N <br /> Address r License# <br /> „Minimum:t®n;(10)wo .. <br /> is` 1}seo a ` „ .for newc suconRESIDENTIA-1: ,PI&Piais;,(2) 8 m <br /> after.: w i Slit°Fence installed,bmialeateReu uireotisite,:ConstconPlans;Stomwater'Pians, <br /> kingdaysi <br /> Sanitary Facilities&1..dumpster Sits:Workl'em7itforsubdivisi4ns/larg®>projects`! <br /> COMMERCIAL Attach(3)•complete sets'of Buildl6d Plans plus_a Life Safety Page;(i)set of Energy Forms.R O-W Permit for new.construction. ' <br /> Minimum ten(10)working days after submittal dater Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new',projeotis:All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach-(2)"sets cf Engl.`neereilJ'lans :. <br /> 'PROPERTY SURVEY required foral(NEWconstruction. -------------- <br /> :-. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> '* Agent(for the contractor)'or Power of Attorney"(for ttie owner)*would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER.PERMITTING . -.-(Front of-Appl(cation Only)-- <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />