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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone-Contact for PernuMnit- j qD1 . ............... <br /> Owner's Nam Owner Phone Number <br /> e <br /> Owner's AddressHWCD W (11 DY 6S S - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Nurn bar <br /> Fee Simple Titleholder Address F— <br /> JOB ADDRESS [3-aoo ma)kdev) +bUa)0 �r- LOTS <br /> en 9�' o 4 r PARCELID#F--q—a I— 0ORD- O(DW OH 0 <br /> SUBDIVISION 1 IV <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR. ADDIALT' SIGN DEMOLISH <br /> -R. INSTALL REPAIR <br /> PROPOSEMUSE Q 'SFR F-1 comim OTHER <br /> TYPE OF CONSTRUCTION 0BLOCK FRAME -STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIDE SO FOOTAGE-L_____j HEIGHT. <br /> Aju 4444 .......... <br /> [__JBUILDING 1$ VALUATION'OF TOTAL CONSTRUCTION <br /> RUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY- 0 W.R.E.C. <br /> E]21'P'LUMBING <br /> IWOO. (DO <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS [ � FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# r <br /> ELECTRIC11AN <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREk <br /> Address F License# F <br /> PLUMBER COMPANY on <br /> 1�& REGISTERED Y 1:N. FEE 1. - <br /> SIGNATURE E cuRREN YYN I _ j <br /> Address F-qF S I P,4-h I Lo—n y Y) License i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN: <br /> Addreas - Licanse# F77 <br /> OTHER qOMPA <br /> SIGNATURE REGISTERED FEE CURREN <br /> _ <br /> Address U cense <br /> H" ............... ............................. ...HtH4*H+4" <br /> RESIDENTIAL Attach(2)Plot-Plans;(2)Sets of 6611ditig'Olans;(11)-i6i of Energy Form <br /> Fo Lsl�R-0=W Permit for now construction,. <br /> -(.19)working days after on'lta I' S- r.0lans Wl Slit'Fence installed, <br /> Minimum.ten s ,`ConsttUc1IonzP an ,Sto <br /> Sanitary Facl[!Ues:&.I-,dumpster,_Site-Work-Permit for subdIvIsIonS#argepmjdcts- <br /> COMMERCIAL Attach(3)complete"sets of Buflaffig Pitins plus a Ufa Safety Page,(1)set of Energy Forms.R-O-W 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 new`projects;All commercial requirements-must meet compliance <br /> SIGN PERMIT Attach(2)'Sats ofEngtne6red"Plahs. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 'Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 0500.a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> Agent(for the 6ontractor)"or Power of Attomdy(fbf the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COULTER PERMITTING -(Front of-Application Only) <br /> Rerools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter ifon public roadways-needs ROW <br />