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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact,forParml-ld"hi, <br /> i;i....11 V...1 r. ....... <br /> Owner's Name Owner Phone Number <br /> Owner's Addressi q N I(C-)f- Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS moolden �4ptl000 'Ov. LOT* <br /> SUBDIVISION PARCEL IDS 1QH_iRW--91 <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRM- ADDIALT' SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEMUSE -SFR COMM. OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK W V1 qct�Aon N f6ACt t I <br /> BUILDING SIZE SQ FOOTAGE=w HEIGHT <br /> lliIIIIIII4 4+ HHHHHAW <br /> "BUILDING VALUATION-0016TAL CONSfkbCTION <br /> =ELECTRICAL AMP SERVICE CJ PROGRESS ENERGY Q W.R.E.C. <br /> �PLjlIMBING- <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES- NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L)2N J FEE CURREN <br /> Address Uwnse# F— <br /> ELECTRICIAN COMPANY - I. - - - <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License#.F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y[N, -FEE CURREN - I /N J <br /> Address be;Mtehe-M M., Llcensa# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L Y.1 NJ. RE CURM <br /> Address LicanpeA'= <br /> OTHER ,COMPANY <br /> SIGNATURE REGISTERED l' Y/ N-] FEE CURREN _7E/N <br /> Lide rise Address <br /> ............................. <br /> 4+H+W <br /> RESIDENTIAL.-, Attach(2)'Pi6fPlans;:(2)sets.bfBuilding-Plans;(1)ieiofbnergyF.orms; -P�W-Pe m lt for new-construction.Required -,1*Storrnwatef0i'ana 4 sut Fence Installed, <br /> Minimum�ten,(-I-Q).Wqrkipg-_dayg,.pfter.s6bmlttaI date'., u r onsiteX6ristruction0haris <br /> Sanitary Fa�rA!10epi&:,I-.duMpster,,,!Sitq.Work-,.Peffnft for subdivisignstlar§eprojects- <br /> COMMERCIAL Attach(3)complete sets of 8,uildifidPlainii-plus a Life Safety Page;(1)set.of En's-r-gy'176rins R-O-W 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 dumpater.Site Work Permit,for all now projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)'isists of E6glh,eer,46 Plans.*, <br /> **—PROPERTY SURVEY rpqyjrqO for all NEW construction.. <br /> 4 ................. <br /> Directions: <br /> =oc ins: <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 /> 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,9n public rosoways:.niedi ROW <br />