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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting- F <br /> 3=, <br /> Owner's Name CA V �Jr Owner Phone Number <br /> Owners Address Loco Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ICQLawl Paden wmfll S+. LOT# <br /> SUBDIVISION IZ_N1VCV0C1D, PARCEL iD#I*C)5-(9U -r)i - C)CnQ -WL4M_-01 0 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED - NEW CONSTR F__j- ADDIALT' SIGN- DEMOLISH <br /> R INSTALL F-1 REPAIR <br /> PROPOSEDrUSE 0 SFR F__j COMM' OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK F-1 FRAME -STEEL = -A <br /> DESCRIPTION OF WORK. <br /> BUILDING SIZE 84i FOOTAGE HEIGHT <br /> W4444 "4 i I I i I I i I I i I I I I I I W-1. <br /> =BUILDING $ VALUATION'OP'TbTAL CONS*6CtIONl <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING - $ <br /> =MECHANICAL i$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. M <br /> ....................... H+H4+H++H+ 111154+11, 1*.111- .................... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREIi <br /> Address License# F— <br /> PLUMBER j COMPANY fleAnd o(noci+ion <br /> SIGNATURE REGISTERED Y/.N.: -FEE CURREK - L LN <br /> Address R-5 I i ),,L,-e+hiwcm -m-, License#+F7-,::3<_)— --DqtiI2)a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRB Y/,N <br /> Address License#.1 <br /> OTHER 'cold P�N <br /> SIGNATURE REGISTERED Y/ N_ .,FEE CURREII <br /> Address License# <br /> .................................................... <br /> RESIDENTIAL (2)+11?16fPlans,�Attach Mieti-6f BuIfdIn'i;i:Pl;ais;(11)setoignargy:Fo6s;R-O-W Permit fbrnew:oonstruction.. <br /> Minimum ten(19)wqrklng, . <br /> days oriiit6,:Cb�s66tC6n.-Oii*ns-:Stotynwater*PiahsAmi/Slit Fence Installed, <br /> " � <br /> Sanitary FjplI!t1eA&.I,dumpster,,;Slte,Work,-PerTnit far tubdivisidni#afge projects <br /> ­4 -6d Plans COMMERCIAL Attach(3)complete sets Building Plan'plus a LlfeSafbty Page;(1)set of Energy#or-ms.R-6-W Permit for new construction., <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities 8,1 dumpster.Site Work Permit for all new projects-All commercial requirements.must meet compliance <br /> SIGN PERMIT Attactf(2)sets ofEhglh6ir.id'PI'an-s., <br /> **—PROPERTY SURVEY required for all NEW construction.. <br /> 1.11 1 MIMI, I <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. (AIC upgrades over$7500) <br /> Agent(for the 6oni:ractor)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 If-,on public roadways..needs ROW <br />