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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021.
<br /> Building Department
<br /> 'Date Received Phone Contact.for:Permitting —
<br /> Owner's-Name + "rr+rLGS c
<br /> f.., .. Owner:Phone Number,, �p
<br /> r � r
<br /> Ownec's`AiJdress b'w�:.0 I<O v" '
<br /> �� �. OwnersPhone Number
<br /> Fed Slmpl'.Titleho[derName Owner Phone Number;;
<br /> Fee Sim:,ple Titleholder Address
<br /> JOB ADDRESS �-I 53 � N_e. L) r1a�+ �V � LOT;#...F77
<br /> ��
<br /> SUBDIVISION 40/11e.0A-) . PARCELID#: •3y - Z&' 0o46.6--.t�25�9 .,
<br /> (OBTAINED;FROM PROPERTY-TAX-NOTICE).-,
<br /> WORK,PROPOSED •• NEW CONSTR; ADD/AL-1. 0 SIGN _;:;Q'"• ` 0 DEMOLISH . °.
<br /> INSTALL,:,LJ' REPAIR -
<br /> PROPOSED USE . ``SFR`..; _. COMM:,., Q` " .OIWER" : r;';
<br /> TYPE OF CONSTRUCTION BLOCK FRAME'. "' STEEL "" " "`•'
<br /> .,.. 0
<br /> DESCRIPTION.OF WORK" CG`oiir E X 1 STtih G ac;1cP6ACC-,^ 5��'"Si✓ '
<br /> BUILDING SIZE, I�' X SQ_FO,OTAGE - HEIGHT'
<br /> BUILDING. $. da
<br /> . :VALUATION"OF`TOTAL-:CONSTRU',CTION .
<br /> =ELECTRICAL.' :AMP.:SERVICE 0 :;. -,,,PROGRESS ENERGY :;0;. -;W,•:R.E.C., " ..
<br /> =PLUMBING' $... .. ,
<br /> =MECHANICAL $ VALUATION OF MECHANrICAL`INSTALLATION.;
<br /> =GAS = ROOFING SPECIALTY{: OTHER;
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE`AREA =YES " "NO
<br /> BUILDER _ COMPANY" " ' X 16"•v� ry'UL-c�
<br /> SIGNATURE REGISTEREO;' <,Y:/<N."• .,. :FEE;CURREn;;.. :.Y:/:N-':
<br /> 41.
<br /> ,Address
<br /> :License#;:' •
<br /> ELECTRICIAN COMPANY'
<br /> SIGNATURE REGISTERED FEE'.CURREhs.: : Yr'Y'.N
<br /> :Address License
<br /> PLUMBER _.COMPANY.
<br /> SIGNATURE ,;REGISTERED �Y,*/,N"'`':; FEE.CURREn':°'. - `;Y'/N°
<br /> Address License.#; 777
<br /> MECHANICAL, COMPANY. ._,,
<br /> SIGNATURE , REGISTERED. Yl.N:_" FEE,cuRREn .Y/N:. " .
<br /> Address., License.# '
<br /> OTHER COMPANY "
<br /> SIGNATURE REGISTERED' Y/ N '." .FEE CURREh':' " + Y
<br /> Address ;License:#: ,.
<br /> RESIDENTIAL Atta6F (2)Plot P.lans (2)sets of.'Building Plans;:(1°)set of Energy'•Forrtls>R=p V1I::PerRiit'.focnew construction;
<br /> Minimum ten(10)working days after submittal date:.Required orisite,Construction Plans,Stormviater 01an6w/'Silt Fence•in'stalled,
<br /> Sanitary Facilities&1 dumpster,Site Work Permit,for subdivisionsnarge projects
<br /> COMMERCIAL Attach_(2)complete sets of Building;.Plans,plus-a'Life'Safety'P age;(1)'set of Energy.Forms.,R-O-W.Permit-for;new;constructlon" '
<br /> Minimum terilloyworking",l,s'after su$rnittal.date Required onsite;Construction Stormwater Plans=wl'Silt�Fence installed;-
<br /> Sanitary;FacillUes"&-,.I.dumpster:.Site Work;Pemiit;for all.new"projects.All commercial.requirements„must meet-�complianee
<br /> SIGN PERMIT Attach'(2)sets,;of:Engineered Plans:
<br /> ****PROPERTY SURVEY'toulred for all'NEW'construction.
<br /> Directlons:
<br /> Fill out application completely.
<br /> y.
<br /> Owner&,Contractor.61gn.back of application,notarized"
<br /> If over$2500,a.Notice of Commencement is required. :(AIC,upgrades.over-$7500)
<br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with,notarized[after from owner.authorizing same
<br /> OVER THE COUNTER PERMITTING (copy,of contractirequired) . ; ...... _
<br /> Reroofs If shingles �0drs—SerAce•Upgrades•A/Cr. -..�Fences(Plot/Survey/Footage)
<br /> eds'`R01N
<br /> Driveways-Not over Counter if on publlc:roadways..ne
<br /> • .� .-.. _ .:ti:..rly.i -u. ..-.- ern.,. _-.. - .--.�.r� .. _v.--N._P_ a ..-. ._ ,: .'
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