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813-78MD20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin 116 V; ) — <br /> TTTf"3T'C"i" 1 <br /> Owner's Name -IL LIC. Owner Phone Number <br /> Owner's Address !2 W1 . STE vVv Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ryry etY11�i� L LOT <br /> Ot # <br /> SUBDIVISION . a�� PARCEL109 � *-0'1!" � � <br /> (OSTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS R ADWALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ry`` FRAME = STEEL = <br /> ` DESCRIPTION OF WORK l\11 rs C <br /> J �J BUILDING SIZE O 1 O 90 FOOTAGE Fi 0 0 HEIGHT <br /> �rlp 7 <br /> ZI BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL S—3OO p AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION 0 <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY �I�t'wlaln PJP�P� <br /> SIGNATURE �y REGISTERED Y N FEE CURREt 'YIN <br /> Addle 5 i%' h 33� License#I (lf-Q <br /> / ELECTRICi COMPANY Q �.t <br /> SIGNATURE REGISTERED IfYJ N I FEE CORM I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LILN <br /> Address I License# <br /> MECHANICAL COMPANY 1 — <br /> SIGNATURE REGISTERED Y/N FEE CURREn Y/N <br /> Address License* <br /> OTHER COMPANY <br /> SIGNATURE l REGISTERED Y/N FEE CURREn Y/N <br /> Address License# <br /> eetetteetttttettettetteetetttertteteeetteeetettttttettteetttttttttt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans(1)set of Energy Farms;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans 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,Stornwater Plans w/Silt 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 /> �. . . . . . <br /> Diroctions: <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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <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 />