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813-780-0020 City of Zephyrhills Permit Application Fax-813-7"21 <br /> Building Department <br /> Date Received <br /> Owner's Name VA ic Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owgor Phone Nurnbcr <br /> 1l <br /> Fee Simple Tftlohafdi�r Address <br /> JOB ADDRESS rico�F§32v ccixsJlJCZdUrtiN-, L.T# to 1N <br /> SUBDIVISION C—>- PARC.L,..r <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADDIALT = SIGN r7 M DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL I I <br /> vase—, <br /> BUILDING SIZE SO FOOTAGE "BIGHT <br /> =BUILDING 1 s VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTPJCAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> &ZIPLUMBING <br /> i' 1$4qD3- <br /> =MECHANICAL 7 VALUATION OF MECHANICAL INSTALLATION <br /> =13AS ROOFING Q SPECIALTY = OTHER <br /> AR FINISHED FLOOR ELEVATIONS FLOOD ZONE EA AYES NO 0 5 <br /> BUIL12ER a COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y <br /> Address License# <br /> ELECTRICIAN I I COMPANY I <br /> SIGNATURE I REGISTERED I YIN FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE hW.%iEREO tj v <br /> Address Cn <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE t REGISTERED I YIN I FEECURREN <br /> Add. Llcense# <br /> OTHER e COMPANY <br /> SIGNATURE. REGISTERED I YIN TEECURREN I YIN <br /> Address L_ J License ft <br /> IM510ENTIAL Aftocht,(2)Fiat Man%(;d)sets Or Oullaing Plans:(1)set at tnergy Forms;H-Q-w Permit tar newconstruct(on, <br /> Minimlim ten(10)working days after submittal date. Required onsle,Construction Plans,StDrmwatar Pfanswr Sift Fence installed, <br /> Sanita,iy Facilities&I dumpster,Site Work Pormili for subdivisionsilarge projects <br /> COMMERCIAL Attach"(2)complete sets of Building Plans plus a Lie Safety Page;(1)set of Energy Forms.R-04 Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onefte.Construct."on Plans,Stormwater Plans Yd Slit Fence Installed, <br /> Senftaiy Facilities&I dompster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Ahach,V)sets of Engineered Plans. <br /> . . . . :=SL��EY required for all NEW construction. <br /> ft..: 1, & . . . - 'I <br /> Pill out ap;ftotior. <br /> Owner&Contractor ilgn back of application,notarized <br /> If ovor S2500,a Notcoof Commencement Is required. (AID upgrades over$7600) <br /> I <br /> Agent Oar the contractor)t or Pamt of Attorney(for The owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERNITrING (COPY Of contract required) <br /> Re roofs It shingles Bowers . Service Upgrades NC Fences(Plot/Surveyll'ootage) <br /> I. <br /> 01lVQWaY"0t over C,aunfor don public roadways..needs ROW <br /> 4 <br />