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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received PhaneCaetactfarPermi <br /> Ittina. U— <br /> Owner's Name CA. Owner Phone Number <br /> Owner's Address t�. Owner Phone Number - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> // ,� f <br /> JOB ADDRESS 11 Leh LOT# <br /> SUBDIVISION '' PARCEL ID# <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED ;NEWICONSe INSTALL TRB REPAIR SiGN• [� Q DEMOLISH <br /> PROPOSEDVSE 0 SFR 0 COMM -OTHER-1 i <br /> TYPE OF CONSTRUCTION' 0 BLOCK ' `Q F M TEEL [� 17— <br /> DESCRIPTION OF WORK-* <br /> BUILDING SIZE' t SQ FOOTAGE: : _HEIGHT' <br /> =BUILDING 1$ VALUATiONLY3F=7'01 AL CONSTRUCTION Y' <br /> ELECTRICAL - • $ .11 AMP SERVICE Q =PROGRESS ENERGY Q W.R.E.C. <br /> UMBING_' $ <br /> =MECHANICAL rr$' VALUATION OF.MECHANICAL INSTALLATION <br /> =GAS ROOFING CJ SPECIALTY OTHER•. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUDDER COf►1PANY <br /> SIGNATURE REGISTEREq Y/ FEE CURREh <br /> Address License'# ~ <br /> ELECTRICIAN,; :COMPANY` = <br /> SIGNATURE REGISTERED Y/ N_j FEE CURREK ` Y/N <br /> Address License#f <br /> PLUMBER„ ... COMPANY <br /> SIGNATURE''` REGISTEREq. Y/.N: FEE CURREK <br /> Address t3cense# I <br /> MECHANICAL` CtlMFANY <br /> SIGNATURE " ` ' REGISTEREq Y./..N ..;r.FEE CURRER Y I'N. . �.. . .�. <br /> Address License'# i <br /> OTHER ;COMPANY: <br /> SIGNATURE REGISTEREq}' ' Y/ N,... FEE CU(RRIth Y/N• <br /> Address; z _ Ciceiise# <br /> RESIDEN `:Attach.2'.PIOT(TPlans;: 2 'sefs:of{Bulltiro'ri?larfs {1):'set of<Eiser jy Foii»s.;f2-0�1N Perrrilf for stew construction, <br /> Minimumxtenr(-1,0),wortiingydaysafter submittal'date Requlred'onslte;Canetiugtion Pians;-Stormwat®'r Plans w Sllt'Fenc®inskalled; <br /> Sanitary'Facilitlest8:-1;dumpster,°Site,Wort_cPermitforsubdivisionsange'::proJects <br /> COMMERCIAL Attach(3}oomOlete setsof-Wilding`Plans plus a Life Safety Page;(1)set ofEnergy Famts.R O-W Permit for new construcUori. ' <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fea't:e Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new!pro)ects:Al commercial,requirements.must_meetcompllance ' <br /> SIGN PERMIT Attach -of Englneered1Pians.; ;: _ :; <br /> ""PROPERTY SURVEY'required,for.all,N ctlon.:. - <br /> Fill out application completely. <br /> `Owner&Contractor-sign back of application,notarized <br /> If over$2500,a Notice of•Commencement Is required. (AtC upgrades over$7500) <br /> '• Agent(far ttie caintractor)`orPower of Attorney"(for the'owner)w�iould be'someone with notarized letter from owner authorizing same <br /> OVER THE:COUNTER PERMITTING._ ---_.-(Front-of Appiloation Only) <br /> Rercofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage). <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />