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813-780-OD20 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> 3332M,- <br /> j Phone-Contact for Permitting- <br /> Ownees Name <br /> %..S 'I Owner Phone Number <br /> -"Op <br /> Owners Address 10 00 W N Qrc�s Sv- 1 Owner Phone Number <br /> Fee Simple Titleholder Name -Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT F_ <br /> SUBDIVISION IRklidep Milvey PARCEL IWFL'jq_aU -a1 _ Djt)0--0M0Q-0_1Wd <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT- SIGN- Q Q DEMOLISH <br /> - R INSTALL REPAIR <br /> PROPOSED,USE SFR COMM. OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK on ArErio t <br /> BUILDING SIZE SIR FOOTAGE HEIGHT <br /> W-14" ig <br /> =BUIMING $ VALUATION OF TOTAL CONS-46CTION <br /> =ELECTRICAL I$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> 14POjMBING. <br /> ' ZO 24 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES. NO <br /> i I I H111"Hii I!III I it I HHH! .......ml.4apalillsixel,H+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LY/N <br /> Address Umnse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y_VN_. FEE CURREK <br /> Addres's License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN 'LY1N <br /> Address 'bHjn ie./vIllem _,Llcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED VY/ N I - FEEqURRFN: <br /> Address Uce+nse.#' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y1 N..'. FEE CURREN <br /> L N_j <br /> Address Licensed <br /> ..............RESIDENTIAL,- Attach(2),ftf Plans;(2)sets,6l'S411ding�Pla"ns,f(1)set ai'Eiieigj�Foim R=0=1N:Piarinit for new-constriction, <br /> Minimum-Ienr(jQ)worIdngdays afterj66bffiftf-date.'.,Required onsitii,'Cbnsttucdoh'Plans,--Stormwater'Plaiiaw/SiltFence InsWIled, <br /> Sanitary,Fqp IlUe!s:&..l..dumpster,Site Work Permit for subdivislansfiarowprojects <br /> COMMERCIAL Attach(3)complete sets of 6ulldirig�Plans plus a Life Safety Page;(1)set of Energy Form s^.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit.for all now projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)Sets of Englhearid-Pla n*s.-, <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 /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the conira6tor)"or Power of Attomdy­(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 roai;lway6..niieds ROW <br />