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813-780-1.0 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting.. D1 <br /> Owners Name l J Owner Phone Number <br /> Owner's Address Lq Coco U) U pfess S-� Owner Phon®Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS MaID WDOkden A�DUQW J LOT 0 <br /> SUBDIVISION PARCEL IDeFag—aw <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED STRM- ADDIALT SIGN DEMOLISH <br /> N1N`Sw 0TcALNL REPAIR <br /> PROPOSEMUSE 0 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> T <br /> DESCRIPTION OF WORK %_/L , to n r, 1_ <br /> BUILDING SIZE $a FOOTAGE HEIGHT. <br /> BUILDING VALUATION OF TOTAL CONSth UCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> EdPLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> ®GAS 0ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONSL FLOOD ZONE AREA [ YES. NO <br /> H+H+H+M+H+H+H+H . ................. ....... ......... <br /> 1. ................ HiNN4 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L_XLNLJ FEE CURRFI, LILN <br /> Address L License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANYSIGNATURE REGISTERED Y N FEE <br /> cuRREN j N_j <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED _Y1 N FEE CURREh <br /> Address License#. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y N FEE cuRREN <br /> Address License# <br /> ............... H+I w a a I a ............ <br /> RESIDENTIAL -Attach(2)Plot.Plans;(2)sets of tullding Plahs,(I)s set of E nergV rms;R-0-W Permit for now construction, <br /> Minimum.ten(I0)working days after.submIttal date.z Required onsibi.-Construction-Plans-,'Stormwater,06ris w/Slit Fence Installed, <br /> Sanitary Facilities&J.dumpsteroSite Work Permit for subdIvIsIonsfiargeprqject$+ <br /> COMMERCIAL Attach(3)complete sets.of Building Plain's" plus a 'Life Safety Page;(1)set of Ene rgy 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&1 dumpster.Site Work Permit for all new 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 /> .................54- <br /> DIrOctlons: <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 /> Driveways-Not over Counter lUon public roadways—needs ROW <br />