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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �Phone,Contaot for Parmittin <br /> Jaiijou 23111 xx 133 Xx 1 <br /> Owner's Name V T n( m 19 Owner Phone Number <br /> Owner's Address I"IM LO (Al PVCS� a4 . Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS IS+- LOT 0 <br /> SUBDIVISION e Kock I PARCEL 100 105_01LO-01-00-10 -(-,CqQQ -00d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR-M- ADDIALT- SIGN- DEMOLISH <br /> INSTALL F__-1 REPAIR <br /> PROPOSED-USE SFR F__1 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE Sty FOOTAGE HEIGHT <br /> =BUILDING $ <br /> VALUATION OF TOTALCONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> .......!!Hill!gill!H;..... ........ <br /> .............. ....... <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> PLUMBER <br /> SIGNATURE COMPANY ileyoe:v��bn �vvlocLi-v) <br /> REGISTERED FEE CURREN I- YM <br /> Address 4F4 I fb&M I t t w M license-# I L55 Oqd <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECuRREN: <br /> Address Ucense# F <br /> OTHER COMPANY" <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# r <br /> ................................................................... .................. <br /> RESIDENTIAL Attach(2)Plot-Plans;(2)sets of guildifig-Plins;(I)s-at of Ensrg Forms;R-O-W Permit for new Construction, <br /> Minimum,ten(10)working days after-subiliftlal date.;Requited ohsit6.-Cohstrucgoh-Olans-,.Storrnwater Plans wt Slit Fence installed, <br /> Sanitary Facilities&1 durripsteq Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach(3)complete sets of Build.Ifig Plains plus a Life Safety Page;(i)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,S�t9rmwater Plans wl Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PER d.MIT Attach(2)'asts of EngineerePla ns. <br /> *'PROPERTY SURVEY required for all NEW construction. <br /> 44444444441141IR111 I I <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the con tr actor)'or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING --(Front of Application Only) <br /> Reroofe If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Ifon public roalways-ne'eds ROW <br />