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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone ContactforVermitling <br /> .................. <br /> Owner's Name 4- LJ Owner Phone Number <br /> Owner's Address LOCO, U) (10016 Is S+ Owner Phone Number <br /> Fee Simple Titleholder Name- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS uloacl LOT# <br /> SUBDI Wfodo <br /> VISION PARCEL IDO 0 (:?) tO 03ll1C) -C)o 5oo <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW-CONSTR,M ADDIALT SIGN- DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSEMUSE 0 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION 'BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK- <br /> BUILDING SIZE SQ FOOTAGE �HEIdHlr <br /> .............. <br /> =BUILDING VALUATION-OF L CONS-ffUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$RD) DO I. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED L_ILLN FEE CURREN LjjLN__j <br /> Address License# <br /> ELECTRICIAN" COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN ' LIL-N-J. <br /> Address License# <br /> PLUMBER COMPANY VV lgoj Ibn <br /> SIGNATURE <br /> REGISTERED, Y/4 N. .. FEECURREN <br /> Address I q511 ...License <br /> MECHANICAL 66MPAMY . ....... <br /> SIGNATURE REGISTERED, 1..Y/ N FEE CURREN <br /> Address*- License#, <br /> OTHER COMPANY <br /> SIGNATURE' REGISTERED J' Y/ N_1 FEECURREK <br /> Address License# <br /> RESIDENTIAL—,, Attach:(2).-P[6t.-Plans,,;-(2)i6ts'6f.-66ffdi'�n6,Pia''n't;-,7(i)s,§iof-Eli "roy.fo"§."ROLWPeru it for new-construction, <br /> M nImumjent(10)wqrkIng"d brfilftl"dati..Required oftite-,-Con't 4ili a: m�01' 4 Silt Pence Installed, <br /> il ays after-S n Sto ans <br /> Sanitary for i6bdi,41si6risllarge projects <br /> COMMERCIAL Attach(3)c6mpIet6S41iofBdlIdlri4 Plaris.plus a Life Safety set of Energy Farms.R-0.-W Permit for new construction.. <br /> Minimum ten(10)working days after submittal date. Required onilite,Construction Plans,Stormwater Plans w/Silt Pence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all newprojiddlis.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach%(2)-sift of Endjhe6r4d-PIin_S.:.-- <br /> ""PROPERTY SURVEY reciulred for all NEW construction. <br /> Ell V1111111 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Modes of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the 6on'tractor.)"or Power of Attorney(for the owner)would <br /> ould be so.meone with.notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING .-(Front of-Application Only) <br /> Remofs If shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if-,on public roadways..needs ROW <br />