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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received I aDIED Phone Contact for Permitting- 01 1! ............. ..... <br /> � . <br /> Owner's Name Owner Ph Number <br /> Owner's Address qwXffl(YA-) UD Lq gless r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS lwwa,3 Ne'votdo Mrch eh LOT# <br /> SUBDIVISION I v eya t Q PARCEL ID#F(D-5-a 1 0010 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CON ADD/ALT'. SIGN- DEMOLISH sTR INSTALLR REPAIR <br /> PROPOSEM USE 0 -SFR Q Comm Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIP'nON OF WORK <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION"OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY - Q W.R.E.C. <br /> ft�PLUMBING -1$400-00 1. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 'HH.HHHH'HH <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L_jLN_ <br /> FEE CURRU <br /> Address Ucense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREh 'Ll NJ <br /> Address License# <br /> d�=PLUMBER COMP'A W . aE M ( I on <br /> SIGNATURE REGISTERED I YVN, I. FEECAJRR h--- -Lj" <br /> Address Mevn bd - LIqense# 1L55__0CAa2Q - <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L.Y I N_j � FEE CURREh <br /> Address License# F_ <br /> OTHER coakkY <br /> SIGNATURE. REGISTERED Y N_ FEE cuRRgh L_LLN J <br /> Address License# <br /> 441 tH I I I I I I I I I 11 1 1 1 1 1 1 4 A.1 <br /> RESIDENTIAL: Attach(2),Plot-Plaris,�(2)sets dfbulldlnig'Plainfsi(11)set oitn�'rgy�foims:4-6w Perifiltfor'"new*construction, <br /> Rbquie --C6 --Plam Stormwater"Plans Slit Fence Installed, <br /> Minimum.tep'(1Q)working days aFwsdbmftI'dat6' ed ohstle, nstiuction w/ <br /> Sanitary Facilities&.1.4umpsten.Site Work Permit for subdi-Asio qsfiargq projects <br /> COMMERCIAL Attach(3)complete sets of Building Oldn's' plus a Life Safety Page;(1)set of Energy Forms.R-OW Permit for now 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 now projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans.. <br /> "PROPERTY SURVEY required for all NEW.constructlon.- <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. (AtC upgrades over$7500) <br /> Agent(for the 6ontractor)'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-niedi ROW <br />