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813-780-0020 City of.Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> rrrrrr7TTr 11 =--Phone Contact for PermIttInX..LS15 -.jD1 _ S51S- <br /> Owner's Name Lenvlo,4,_ Owner Phone Number <br /> Owner's AddressMem U0_(14.PVCE)S ls�. Owner Phone Number <br /> Fee Simple Titleholder Name -Owner Phone Number <br /> Fee Simple Titleholder At <br /> JOB ADDRESS Emo 65_-Paden wAnei -5A LOT 0 <br /> SUBDIVISION -,PARCEL ID8105- (9W--01-MI -CUM-oA eo <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED e <br /> NEWCONMR*. ADD/ALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDiUSE Q -SFR Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION IATIOWOF TOTAL CONSTRUCTION'I . <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E..C. <br /> 11dPLUMBING- co <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LKL_N--j FEE CURREN <br /> Address License# F <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED FEE CURRE6 <br /> Address Ucense#'r <br /> PLUMBER COMPANY 1+A8f&V4,-,Qn VV�GCA+ibn I <br /> SIGNATURE 6A_= REGISTERED Y l N• FEE CURREN Lyj N <br /> Address 5t I er,4-10 lemem License# rG55 Oct R13 A <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED <br /> ERED FEE CURREN: <br /> - Address License#.[--7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_ FEE CURREN <br /> Address License#F77 <br /> 4+H+" <br /> .RESIDENTIAL.' Attach'(2)Plot Plans.(2)i6ts.ofBu1ldMj.'P6hs-,(i)set oiEiie;lii:Fo6ns,R-9-W PiarmIt far new construction,. <br /> MinImum,.ten%(1q)working days after subrfilftaldatii�--Required oristleftonstructionPlains-i Storm.water Plans w/Slit Fence installed, <br /> Sankary Facilities&.1.duMpster;,,SIte Work?ermit for subdivislonsfiarge projects <br /> COMMERCIAL Attach(3)complete sets of Building-Plans plus a Life 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 wl 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 Englhoer6cf-Plans. <br /> "PROPERTY SURVEY required for all NEW Construction. <br /> Directions: - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> N over$2500.a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> to Agent(for the contractor)or Power of Attorney(for ffie'ownei)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Rerools;If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Ifort public roadways-needs ROW <br />