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Accela.com -Hillsborough County Permit to Perform Work Page 2 of 2 I <br /> a��-�ao-oozo City of Zephyrhills Permit Application Fax-813-78U-0021 <br /> 0uilding Department <br /> ay� ived phone Contact for Pe a ion#: OOF60B3AED <br /> Owner's Name � 1 1 h Owner Phone Number <br /> Owners Address Owner Phone Number <br /> + i! I' I <br /> Fee Simple TiUeholder Name I U� � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S—I U U V U LOT�t � <br /> SUBDIVISION PARCEL ID# � �� O� �� <br /> (08TA1NED FRON PROPERIY TAX NOT1C� <br /> WORK PROPOSED e NEW CONS7R e ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �SI �` l� v�VI 7 � �� �� � '�� <br /> �� <br /> BUiLD1T1G S1ZE SQ FOOTAGE +O HEIGHT � y.. <br /> _� <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION 2 L�� ( �� �✓ <br /> 1�'`� <br /> QELECTRICAL $ AMP SERV(CE 0 PROGRESS ENERGY Q W.R.E.C. � <br /> + <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> � <br /> QGAS ROOFING Q SPECIALTY 0 OTHER r�/1 <br /> � ` / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO \ ^ <br /> u � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREI. Y/N <br /> Address License# <br /> ELECTRIGAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLll1�IBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y!N <br /> Address License# <br /> 1 <br /> OTHER COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE Y/N I <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forzns;R-O-W Pertnit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans wf Silt Fence installed, <br /> Sanitary FaciliGes 8 1 dumps[er;Site Work Permit for subdivisionsAarge projects <br /> COMMERGAL Attach(2)complete sets of Building Plans plus a Vfe Safety Page;(1)set of Energy Fortns.R-0.W Permit for new consVudion. <br /> Mnimum ten(10)woricing days aFter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERI'Y SURVEY required for all NEW construction. <br /> Directions:• <br /> F11 out applicaUon completely. <br /> Owner&Conlrador sign back of apdicaGon,nolarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent((or the wntrador)or Power of Atlomey(for the owner)would be someone with no[arized letter from owner authorizing same <br /> � OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs'rfshingles Sewers ServiceUpgrades A/C Fences(PIoHSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />' https://www.velocityhall.com/accelalvelohall/report/index.cfm?FUSEACTION=ViewHT... 1/29/2018 <br />