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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name L"Mvy +1=6 Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name E7 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V)v c SiCt )PIDDOf Ln. LOT# <br /> SUBDIVISION PARCEL ID#10 -aW-- MCC- (MOM- I ViQ <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED w RR. ADD)ALT SIGN- DEMOLISH <br /> ' R NEW <br /> REPAIR <br /> PROPOSED>USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q -BLOCK Q FRAME C� STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT. <br /> 4444444444 <br /> =BUILDING $ VALUATION'OF_T6TAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> +PLUMBING 00 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD.ZONE AREA =YES. NO <br /> BUILDER COMPANY' I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 7Y!N <br /> Address License# F— - <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREIv <br /> L N_J <br /> Address Licensek <br /> PLUMBER COMPANY +4 ff'dev, q M -Vl=on <br /> SIGNATURE REGISTERED Y/ N•-1- -FEE CURREN Y <br /> Address HINI be_,Ihlewv) P)d I License# IL 09 a3a I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y_I N FEE qURREII- <br /> Address Ucense.# r <br /> OTHER COMP A MY <br /> SIGNATURE -REGISTERED Y/ N..J FEE CURREK <br /> Address License# <br /> +H+K* <br /> RESIDENTIAL, Attach(2),Pl6t+Plans;(2)liets.6fauilditig.Plans'(1)set of Energy'FoiTn§*,R-O-W"Permit for now.cofistruPtiom. <br /> -MInImum:lerI(-Ip)wqrking1days after Sutirfiltial date.:Required onsitig,Construction Plans;Stormwater'Plans wl Slit Fence installed, <br /> Sanitary FiIi:1111fles-&-1 durripster,Site Work-Permit for subdivISIOns/laroelproject0; <br /> COMMERCIAL Attach(3)completeseti Of f3ulldirf4 Owns' plus 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/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)eetsof Efigineerid Plans., <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(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Reroote If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />