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813-780-0020 City of Zephyrhills Permit Application Fax-813-78(I-0021 <br /> Building Department <br /> Date Received Phone contact for Permitting <br /> - - - - - - - - - - J 1 IV <br /> -6 <br /> Ownces Name iCQJ Owner Phone Number <br /> Owner's Address A Owner Phone Number C' <br /> Fee Simple Titleholder Name Owner Phony Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS T.J LOT# <br /> SUBDIVISION F- PARCEL ID9 HY) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> I ks O 94'Q4* <br /> DESCRIPTION OF WORK toy, V6)4Qe11)l'1-Udt13 VS ec -3-' W <br /> VY IC. fnc'�I% nnn- <br /> i 0 U Yh I(I CA:VIC Cl <br /> BUILDING SIZE SQ FOOTAGE HEIGHT VOMM <br /> BUILDING I'3's C)C)(D � VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL 11 5c- a C)'J AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING I S I I I# <br /> =MECHANICAL I$ -1 VALUATION OF MECHANICAL INSTALLATION IF <br /> =GAS = ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Q4444 . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY 1-36YI :60 Ci��S <br /> SIGNATURE REGISTERED YIN FEE awRREt- I Y/N <br /> �Address License#1 <br /> pn—JdpnV4 bk-bw ELECTRICIAN COMPANY CAS <br /> r- <br /> GNATURE REGISTERED YIN FEE CURRM I Y/N <br /> Address I)t-lo-S 5 '16 f-hs� jcy�)(fccytkkkul' License#1 Fz�'Fn-110�0 <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FFECURRE-N <br /> Address License#F— <br /> MECHANICAL COMPANY = <br /> SIGNATURE F REGISTERED Y/N I FEE cuRFtFN L_y LIN J <br /> Address I License#F— <br /> OTHER T� COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURRI3, Luh—i <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten 00)working days after submittal date. Required onsite,Construction Plans,Storrmvator Plans w!Silt Fer=instilled, <br /> Sanitary Facilities 81 dumpster:Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)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 ensite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site We*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 /> Directions: <br /> Fill out application completely. <br /> owner&Contractor sign back of application,notarized <br /> ff over$2500.a Notice of Commencement Is required. (AIC 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 /> Rcroofs if shingles Sawyers Service Upgrades A/C Fences(PlotiSurveylFootago) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />