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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building.Department . <br /> Received Phone.Contapt.for.Permittingo — <br /> n <br /> Ownees,Nanie• n' ���- A7�G A/� 1' Owner'Phone.Number: <br /> Owner sAddress l D d l S UA/ Ownef!'Phone Numbec =j <br /> Fee SIMple.Titleholder•Name ' Owner Phone Number <br /> Fee Simple.Titleholder Address <br /> 77 <br /> JOB ADDRESSS© <br /> ;. <br /> SUBDIVISION PARCEL I)># -.. =�,tYl ..00 <br /> (OBTAINED;FROM PROPERTY-TAX NOTICE)..,. <br /> WORK,PROPOSED NEW CONSTR ° ' ADD/ALT. :0. SIGN 0 Q ^.DEMOLISH . <br /> B ,INSTALL, ,,e. REPAIR <br /> �., <br /> PROPOSED USE, ;' 0 SFR :::0 ' :'COMM;;­. 0 OTHER•::' <br /> TYPE'OF CONSTRUCTION' 'BL'O OCK. `FRAME. `.STEEL <br /> DE$CRIP.,TION OF WORK <br /> ivo2 0 .11- S1 <br /> BUILDING. IF <br /> 'SIZE. .J $Q,FOOTAGE. HEIGHT` ' <br /> s <br /> =BUILDING. $ /®D ,,,VALUATION OF.T.OTAL'CONSTRUCTION' <br /> =ELECTRICAL ' ; $r .AW.SERVICE' - 0 PROGRESS'ENERGY W,iRiE;C. <br /> =PLUMBING $' r <br /> MECHANICAL $- VALUATION OF MECHANICAL'INSTALLATION <br /> 1 I <br /> =GAS ROOFING 0.. - SPECIALTY':= . .,OTHER: <br /> FINISHED FLOOR ELEVATIONS FLOOD zONE'AREA- AYES NO <br /> BUILDER COMPANY- <br /> SIGNATURE - <br /> REGISTERED``' Y/ N • '..; ':FEErcuRREn•; <br /> Address -License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE `REGISTERED Y'/:_iN'a'e 5� ',:.FEE.CURREp.>: Y` <br /> . ..- ,. .. � _ :- � � .,. <br /> F77 <br /> Address ,.,,License# <br /> PLUMBER ::COMPANYr. <br /> SIGNATURE' ;REGISTERED "FEE•CURREN'_" <br /> Address,, License..# <br /> MECHAN•ICAL.. COMPANY.. <br /> SIGNATURE:• REGISTERED. . ,,Y`/ N_' FEE;CURREn . Y/N <br /> , <br /> Address. /f Lice #Q' <br /> OTHER t� COMPANY <br /> SIGNATURE ��// !! "`REGISTERED N'. ' •FEECURREN Y'/-M <br /> Address 6 o y , i` � .� �!Z -License'# C Q 0'!/ <br /> RESIDENTIAL Attach(0, Plb-f Plans;(2)'sets':of"B6ilding,.Plans;:(1).setofEnercjy:Fortns;R-O=VVFerrnit*for:new construction; •:,.,.:..:; <br /> Minimum•ten(10)working days after submittal date.:Required or site,:Construction;Plans,Stormwater Plans w/'Silt:Fen6e'.fttalled;- <br /> Sanitary Facilities&1 dumpster:Site Work Permit,for subdivisioris/large,projects . <br /> COMMERCIAL Attach(2)complete sets,of Building.Plansplusa,Lite Safety'Pabe;(1):set of:Energy-Forms.R,-O-W:Pennit-fornew-construction:= <br /> .Minimum ten"60)'working'; after sutimit(aI'date.`Required onsite,Construction Plaris;'Stormwater`f?lans'w%`Silt?Fence:Pnstalled;` <br /> Sanitay;Facilities-&,,f.dumpster.Site Work;Permit fot all new projects.All commercial requirements_musbmeet compliance•_ <br /> SIGN PERMIT Attach(2);sets,;of"Engineered Plans. <br /> "'"PROPERTY SURVEY required for all-NEW-construction. <br /> Directions: <br /> Fill outapplication completely- <br /> Owner.&.Contractor sign.back of application,notarized <br /> If over$2500,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 notarized letter from owner.authodzing same <br /> OVER THE COUNTER PERMITTING (copyof corit4et•required).`• :}. <br /> Reroofsif shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />