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813-780-0020 City of Zephyrhills Pel"Ht Application Fax 813-780-0021 <br /> Building Department <br /> Data Received <br /> - -Phonee-Contact for Pormitth, OAD1 <br /> EaEI3= ............A....... <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone'Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION I-AWden t t*y PARCEL IIWj_aH- 9W C)1 W 0"0- OID <br /> (OBTAINED FROM PROPEInYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT' SIGN-- 0 0 DEMOLISH <br /> ' R INSTALL rl REPAIR <br /> PROPOSED-.USE Q SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1111111181, M444444444444 14991 go mile&!poll....11timinflemism <br /> =BUILDING $ VALUATION-OF-'TOTAL CONStikUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY- Q W.R.E.C. <br /> TPLI.IMBING. 1$ -loll -00 <br /> -ZZ 2­4 <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> I I 1 5 L I 114 S I I I I I I I I I I I I 1 2 11 2 11 04 i I i a I _HHHHHHH I+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN UuN <br /> Address Llconse# <br /> ELECTRICIAN. COMPANY . <br /> SIGNATURE REGISTERED 1_jL N j FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY I -HeyyJgv-5Dn w6w, +'1un I <br /> SIGNATURE REGISTERED Y/:N- FEE CURREN -VYIN - <br /> Address License C�5 a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1_Y/ N FEE CURREN: <br /> Address License*.1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1--YIN.,T FEE CuRREN Y/N <br /> Address Ucense#RESIDENTIAL-, -Attach(2),ftf-Planst,(2)ietsW_Building-Pl;_in_S;(1)ik of"E-nirgy,Foirni§-,+R-O-W:Pernilt for now construction. <br /> Mlnlmum:tLe 9)wq <br /> RiO - Its-date Required ofiilte.:Conskjc#6n Flans;:Stomiwater-Plans w/Slit Fence Installed, <br /> ddqg-daysafterSdbrhI I <br /> Sanitary Fagill0q44.1 AumpSta!;.�$ltqWo04�:Permlt for subdiv!slonsflarge.projects <br /> COMMERCIAL Attach(3)complete sets.oi-BUIldifigpl 166L plus a Life Safety Page,(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(lb)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 durripster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)'sets of Erigin.e6red-Plans., <br /> 'PROPERTY SURVEY required for ail NEW construction, <br /> ------------ <br /> - -- --------------- <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over MOO,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)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 ff shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DrIvewaya-Not over Counter If on public roadways-needs ROW <br />