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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received F Phone Contact for Permitting I-316111 1B <br /> ............... .... ................ 13 z7=1 <br /> Owner's NarneL. 0Mdid fflc I innon . . ..........7 Owner Phone Number 3 <br /> Ownees Address owner Phone Number <br /> • <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB AD.DRESS ...... 3 35 q LOT <br /> M , <br /> SUBDIVISION* 1W OQics Vhq-c_bcLt PARCEL 1D#1 03 - blao -WL L036 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN 0 MOVE Q DEMOLISH <br /> INSTALL REPAIR I I () <br /> PROPOSED USE SFR Comm Q OTHERTYPE OF CONSTRUCTION BLO?K 0 FRAME STEEL OTHER <br /> bw a i� I <br /> DESCRIPTION OFWORK� I <br /> BUILDING SIZE, b V SQ FOOTAGE HEIGHT 5loo-0- <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE L_J PROGRESS ENERGY Q W.R.E.C, <br /> PLUMBING <br /> fl 41 <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r1YES =NO <br /> 2 m 1 2 N 6 1 2 a i a I I I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENTY/N� <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N - FEE CURRENT <br /> Address F_ License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT L_.YL/N 1. <br /> Address License# F77 <br /> OTHER ', COMPANY �(,nco 60 ro� 0 <br /> SIGNATURE REGISTERED N FEE CURStNT I(YJ N <br /> 94 4 4 9 <br /> Address 1364TIM ( t-) h 3339 5 565 <br /> License# <br /> RESIDENTIAL Attach,(2)Plot Plans;(2)Sets of Building Plans-,(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimurh ten(16)working days after submittal date. Required onsite,Construction Plans,Sto. rmwater Plans wl Slit Fence installed, <br /> Sanitary Facilities I&I dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL. Attach(3)sets of-Building Plans;(1)set of Energy Forms.R-O-WPermit:for new construction. <br /> Minimum ten(10)workin'g days after submittal date. Required onsite,Construction Plans,Stormwater Plan's w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance. <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"•PROPERTY SURVEY required for all NEW construction. <br /> ............................................. <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. (A/C upgrades over$5000) <br /> Agent(for the contractor)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 /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage). <br /> Driveways-Not,ovetCounter If on public roadways..needs ROW <br />