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813-780-0020 City of Zephyrhills,Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Parmiftin <br /> ........ ........ I El EC033331M ...... <br /> Owner's Name Lcnnav Owner Phone Number <br /> Owner's Address L11000 W N PCs'sbt-_ Owner Phone Number <br /> Fee Simple Titleholder Name, F Owner Phone Numbir <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 9 <br /> SUBDIVISION PARCEL ID#I-aq_aW'_,a I _00qD-DD coo Q-QqdQ <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTftR� ADWALT SIGN- DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSEMUSE Q SFR Q comm. OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE=. HEIGHT <br /> =BUILDING 1$ VALUATION OF'TOTAL CONSTRUCTION. <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY Q W.FLE.C. <br /> EZIPILUMBING -1$600- 00 t <br /> =MECHANICAL 1- VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LIL N FEE CURREN LY N <br /> Address -IJcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN LaLN J <br /> Address License# <br /> PLUMBER COMPANY I fy3pi Imocown <br /> SIGNATURE REGISTERED Y/-N. FEE CURREN L_Y�l <br /> Address LIc.ense# Ts <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y./ N j FEE CURREh- <br /> Address Ucense# <br /> OTHER "compAky <br /> SIGNATURE REGISTERED Y/ W.-I FEE CURREN Y/N <br /> Address License#- <br /> . <br /> RESIDENTIAL Pidt�Attach I or- 144)' -W Permit for new.Construction, <br /> Plans;(2)ietsbf-��ildih*g;Pl*a'ns;(I)'s6tof-Energy-F <br /> Winimumteiv(�IP)working Aaysafters6bMittai'dati.'Required oniltd;6hs cgbn:'Pianv,.Stormwatef0iiinsw/Siit,Fenceini§talled. <br /> Sanitary Fopilities&,I,,dumppter,�$lte-.Work Permit for subdivislonsfiargd.'proects-_ <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.AJI,00mmerclal requirements,must meet compliance <br /> SIGN PERMIT Attach(2)-sets of Engineered Plans.. <br /> —"PROPERTY SURVEY required for all NEW construction.. <br /> ................ ................. <br /> Diractions: <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 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 If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DrIvewar3-Not over Counter Won public roadways-n6edi ROW <br />