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813780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permlitin 15. 1 <br /> "Owner's Home M6 T Owner Phone Number <br /> Owner's Address (111YO, wpcesls Owner Phone Number <br /> Fee Simple Titleholder Hama Owner Phone Number <br /> Fee Simple Titleholder Address <br /> F-72 <br /> I " <br /> m _M[�)Lden i�otlm JOB ADDRESS t C Dy LOT 0 <br /> SUBDIVISION Pfi drko fh�v%n- I PARCEL IDO —a 0 - vi 00q D 00000 -0_6-J P" <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR- ADD/ALT' SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED,-USE Q SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK II FRAME STEEL <br /> DESCRIPTION OF WORK Y) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I i444-w 11 W444444 "11141.1-F W44444M .1 IS 8 1414 111 A 1111 1111191444444444444444- <br /> L_LIBUILDING 1$ VALUATION"OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E..C. <br /> =PLUMBING 1'*l <br /> ]MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> [, GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> §+H+H4+H+H4+H4++H ........ . ................. <br /> 44444*H4+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY vri a+,=On <br /> SIGNATURE REGISTERED FEE CURREN L_YYN J <br /> Address [ HSI I Oe*lichem Kri 35 <br /> License# Fuz <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN: <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y N_J FEE CURREN <br /> - I I License. <br /> Address # <br /> 4+H44+H- .........!I........................ ....1_._.­.._..- <br /> RESIDENTIAL Attach(2)Plot,Plans;(2)sets of Building.Plans;(1)'set of Energy R-O-W Permit for new.construction,. <br /> .Minimum ten(10)working days after-s6timiltM data.-Required onsitaXonstructlon Plans-.-Stormwater'Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 durnpsteq-$ItisWork,Permit for subdivislonsilarge projects' <br /> COMMERCIAL Attach(3)complete sets of Build.169 Plains" 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 Enginddr6d'Plan's., .- - <br /> *—PROPERTY SURVEY required for all NEW construction. <br /> _ . <br /> 111111 1111111 sill fill III <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$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER 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 If-ion public roadways..needs ROW <br />