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513-780-0020 City of Zephyrhills Permit Application Fax 813-780-OD21 <br /> Building Department <br /> ......... 161 ..........IX33XKE= ZW�Dl <br /> Date Received Phone-Contact forPermtttin <br /> Owner's Name Owner Phone Plumber <br /> Owner's AddressM(a0p. S� I Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ZUH Yye5keoxo-ohe L-ri- LOT# <br /> SUBDIVISION 11'rk"QMVI INV�* PARCEL lDffil&H— 0jLQ_ a I - C)j _000W DIV <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR- ADD/ALT SIGN DEMOLISH <br /> , R INSTALL REPAIR <br /> PROPOSEMUSE 0 SFR Fj COMM Q OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK '- gam AV)&, fCA1] <br /> BUILDING SIZE SO' FOOTAGE=, HEIGHT <br /> =BUILDING 1$ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AM PROGRESS ENERGY W.R.E.C. <br /> - 1 P SERVICE <br /> MPL11MBING <br /> 1$ ROD, M <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL.INSTALLATION IS <br /> =GAS 0ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO, <br /> AMHH1.............. HHHHHHH H-Hi WHHHHH HiNHHH" <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN�j <br /> Address LIcense# <br /> ELECTRICIAN. COMPANY , <br /> SIGNATURE REGISTERED Y/ N FFEcuRREN­ - <br /> Address License#.F <br /> PLUMBER <br /> COMPANY 14AWae_VaYN_ A <br /> SIGNATURE (A REGISTERED YV& - FEE CURREN Y <br /> Address 145h TbOW01em ", Ucensei I UCfD_ 0 [a3A <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED , Y/ N FEE CURREN <br /> Address Ucense.# <br /> -7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y1 N. FEE C URRM <br /> 7­7 Address License# <br /> .............. . <br /> Attach(2),P set6of uIldft,�P16h orms;. -OWPerinit lot-'Planw,�(2) ' 13 Plans; '"' <br /> RESIDENTIAL— for new construction, <br /> Minimumtep,(-19)working.days after ,�,sdbtfilttaldate. Rouir6donilte.:Cbhg ctl --I a*n&;-Stormwatef Plans w/Slit Fence installed, <br /> Sanitary Fpq.1liHE!si&:1dump,§ter,,,SlteWork-,Permit for subdivlstonsflarge prdjectis <br /> COMMERCIAL Attach(3),complate sets of Bijild1riSt PlEiniplus'a Life Safety Page-,(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater 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)"s6ts of Ehg!h0dr,6d-Pians., <br /> *"'PROPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)"or Power of Attorney(f&thiii'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 roa0ways-needs ROW <br />