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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received PhontContactfouPermittin <br /> Owner's Name AL, LCMA6 yi,_ ( :_ l 1 V b Owner Phone Number V <br /> Owner's Address V V Owner Phone Number <br /> Fee SimpieiTitlehoider.Name T 'Y Owner Phone Number <br /> Fee Simple Titleholder Address <br /> tt <br /> JOB ADDRESS ✓ 0aft,(-, LOT# <br /> t p� <br /> SUBDIVISION � - PARCEL ID# " ~ ����' � "` O�J�� (.�3 — 43 <br /> (OBTAINED FROM.PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR" ADD/ALT SIGN Q DEMOLISH <br /> ;e. INSTALL .8 -: REPAIR <br /> PROPOSED,USE " Q SFR. COMM" - ''Q -OTHER'", <br /> TYPE OF CONSTRUCTION �'. ' BLOCK ' `[� FRAME [ STEEL <br /> y _ <br /> DESCRIPTION OF WORK,, 'ff i �L'i�•i ()(� (} OL <br /> BUILDING SIZE SQ FOOTAGE , HEIGHT" <br /> QBUILDING $ ;~, - <br /> �OV VALUATIOi�!`tOF TOTAL CONSTRIICTiON' ' <br /> i <br /> QELECTRiCAL IL,7;W <br /> AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �. <br /> [PLUMBING <br /> =MECHANICAL $ 'VALUATION OF;MECHANICAL INSTALLATION <br /> 4 F2Ji' <br /> [ GAS Q ROOFING _Q SPECIALTY. ] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES. .NO <br /> ,�.�i <br /> -� Icy R �+ <br /> LDEi��al/04L �� CO:M ANC` a. e2 (�E11}`���'A I. <br /> NATURE REGISTERED I Y/ N- 'FEE CURREN <br /> Address Cleans # <br /> ff TR{CIAN �{ =COMPANY <br /> `.,�SIGNATURE REGISTERED Y/ N FEE CURRE�4' Y/N <br /> Ad teas _ Llcense-#' �3 <br /> PLUMBER_ COMP..ANY <br /> SIGNATURE REGISTERED, Y/,•N•'' 5 wFEECURREK; Y/N, '• <br /> Address .License,#' <br /> NATURE REGISTERED... Y/ N. : :: :FEE CURREn:.. <br /> SIG . <br /> r <br /> d <br /> OTHER r - ;COMPANY <br /> SIGNATURE REGISTERED' Y/ N.= : FEE CURRE� Y/N <br /> 77. <br /> Address =t:icetise# <br /> RESIDENTIAL.,;:- Attach`(2};PlotPfans;:.(2jsetsof.'SullilfngPlans{.i}`set"offnergyFarms;.°R=O=WPermitfor-new construction,,. <br /> Minimum}tenp(1t1)woriiing;days;after_subm{ttai date. Required drisitd 666trubdon Runs:Stoinriwater Plans w!Silt Fence installed, <br /> Sanitary Faculties;&.1;dumpster' yV r!j Permit fdrsUbdiyisionsAarga':projects:: <br /> COMMERCIAL Attach(3}complete sets'of Building Plans'plils a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater glans w/Silt Fence installed, <br /> Sanitary Facilities&T dumpster.Site Work Permit for all new,prajects:All commercial requirements.must meet compliance <br /> SIGN PERMIT Attaeii{2}"s®ts ofEiigineered Pieria:;,._ <br /> '*"'PROPERTY SURVEY required for all NEW construction. <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 contractor)`or Power of Attorney(far 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-heeds ROW <br />