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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone,Contact forVermitilha. 2DI E)I S <br /> S Owner Phone Number <br /> Owner's Name t nav ytyy)e <br /> Owner's Address iqUOD U3 CU=55f Owner Phone Number <br /> Fee Simple Titleholder Name.. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS MW�deo HotlGao Q( LOT# <br /> SUBDIVISION -PARCEL IDN 16?+3(0 R I-WIRO - cc_000 -0 6,50 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRM ADDIALT- SIGNL, DEMOLISH - <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 `BLOCK E:] FRAME 'STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING HEIGHT . <br /> SIZE FOOTAGE : <br /> BUILDING $ VALUATION'OF10TAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY W.R.E.0 <br /> PLUMBING- <br /> I Woo 00 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> fH44H+H ;Z—A. a Hill I 1 2 2 ff a 6*1 1 4 a 1 a i I I I I I I I 1 111 1 11 1 1 1 11 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LjL N j FEE cuRREN <br /> Address License# F_ <br /> ELECTRIC, COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEECURREN­ L!L_NJ_ <br /> Address A License <br /> PLUMBER COMPANY ct <br /> SIGNATUREi. REGISTERED -.FEE cURRM.. <br /> Address 1L4511 R2L_ Cm W, ...Licqnseil Lf-S5J__0(q= <br /> _Q <br /> MECHANICAL COMPANY <br /> SIGNATURE. REGISTERED J..Y./ N I FEE CURRENT 7= <br /> Address License#.F— <br /> OTHER :COMPANY <br /> SIGNATURE REGISTERED' Y/ N...-, '+ '.,FEECURkEh <br /> Address F7 License# <br /> Attach'(2),PIdfPIana" R=P_WkPerhilt for now construction <br /> RESIDENTIAL <br /> 'Cj �-n <br /> 'te <br /> (10) <br /> wo <br /> =to ans W 911 t+Fince Installed. <br /> Sanitary Fa ump <br /> COMMERCIAL Attach t3 comoieid a Building Plans plus a Llfs Safety Page;(1}set of Energy Fauns. <br /> 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&I dumpster.Site Work Permit for all now projects..All commercial requirements,must meet compliance <br /> SIGN PERMIT Attactf(2)-s7etsofEholh-iii-ioid�Pla'ns.:-.-.r''--'* <br /> 'PROPERTY SURVEY required,for all NEW construction.. <br /> g 1 K .............. <br /> Dlrectlonse <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 Attorridy(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING --,-(Front of-Appliciltion Only) <br /> Rerools If shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if public roadways_:haeds ROW <br />