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813-780-0020 City of Zephyrhills Permit Application Fox-813-780-0021 <br /> Building Department f <br /> Date Received Phone Contact,for Permitting <br /> owner's Name G /15. LL c Owner Ph..Numb., <br /> Ownees Address Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Lo_are_1 V14- Za- LOT# <br /> SUBDIVISION 17921"k ir C. 5 1 PARCEI 01)06 Q0166669,61 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR�r ADDIALT SIGN 0DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK P&,r, AN ole—P a 0-7V g2,PAJ a-A)_r a7�� 7_0 AJ P/441 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT' <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 'E1BUILDIN`G' ' ' " r I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> CONECHANICAL <br /> /1 .5,-6,47 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING r7 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN UINIJ <br /> Address I License 9 <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREI, LY�_N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREI, Y/N <br /> Address License# <br /> MECHANICAL COMPANY IA619-hhle-v �*S <br /> SIGNATURE REGISTERED I YIN FEE CURREN YIN <br /> Address )9//&AJ ZWIMS, License#v4do it—g-1 <br /> OTHER COMPANY F_ L�_N <br /> SIGNATURE REGISTERED YIN FEECURREK <br /> Address I License# <br /> 1111111111111111IIIIIIIIIIIIIIIIIIIIIIIItllilllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms-,R-O-W Permit for new construction, <br /> Minimum ten(10)worldng days after submittal date. Required Onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)wor"days after submittal date. Required onsite.Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...Dittig: <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$7500) <br /> Agent(for the contractor)or Power of Attorney(for Die owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remols if shingles ' Sewers I Service Upgrades.A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />