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813-780-0020 City of Zephyrhills Permit Application Fax B13-780-002i <br /> Building Department <br /> Date Received' 501 Phone Contact for Pe mitfing- <br /> ....... Do <br /> Owner's Name L V -�b mw Owner Phone Number <br /> Owner's Address L1LlN U) 1XICS's S-V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS =L5 a 3LI ffutd ED -HQ110 Of LOT 8 <br /> S PARCEL IDO (0 ONO 00 o UBDIVISION Ffladffl b& _000- I IDI <br /> (OBTAINED FROM PROPERTY TAR 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 cows RUCTIONBLOCK FRAME STEEL <br /> DESCRIPTION OF WORK mocoon w6imi <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> -.4444-4-54 <br /> =BUILDING $ VALUATION'O#TOTAL CONSTRUCTION <br /> ]ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> qJPLUMBING 00 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> ...HHHH! ......... ............................... ............... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Addms License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY k On <br /> SIGNATURE REGISTERED Y I N FEE CURREN I Y-/W <br /> Address f>)emnwv)" lo: License* I L,55 C)CILJ 3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L-_Y/ NJ - FEE CURREN <br /> Address License# <br /> OTHER .,COMPANY . <br /> SIGNATURE REGISTERED Y/ N.- FEE CURREN <br /> Address License# <br /> ....... Of B ......................................... HH+H+H+ <br /> RESIDENTIAL Attach(2)Plot,Plans;(2)'sets ultdih�:Pl'a'ns;(I)'i6iofEnerg)'fForm§;R-O-W Permit for new construction, <br /> Minlmum:ten(19)Working days after submittal dat6.-Required onsilte,'Constructlon Plans;Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&A.dumpster,Site Work Permit for subdivisionsParge projects <br /> COMMERCIAL Attach(3)complete'sets of Build'Ing 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 w/Silt 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 Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> pop m1malm 1 .1 11 111pp-0.1.1 1-11111111511 al 11 1W <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement 12 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 /> 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 ifon public roadways-needs ROW <br />