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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Data Recelvid 01 J51 <br /> .. Phone Contact for Permitting; <br /> Owner's Name Lftffk 4A(W,%P_15 Owner Phone Number <br /> Owner's Address (0 a) W CLI Owner Phone Number <br /> Fee Simple Titleholder Name• F_ Owner Phone Number <br /> Fee Simple Titleholder Addr.ess <br /> 1`75, <br /> JOB ADDRESS lot 5LP- V)re5forb(0Cft_ wn LOT 0 <br /> SUBDIVISION Midden rih-ioer PARCEL IEW 13H-aW-ali -MO-01DOW- 01F0 I <br /> (OBTAINED FROMPROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR-M- ADDIALT' SIGN DEMOLISH <br /> -R INSTALL REPAIR <br /> PROPOSEMiUSE 0 SFR Q COMM. OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL QF_ <br /> DESCRIPTION OF WORK On <br /> BUILDING SIZE SO FOOTAGE HEIGHT. <br /> =BUILDING $ VALUATION-(jF TOTAL-CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING 1$ co <br /> L A J <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING -F__j - SPECIALTY. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 111HN'IIFA,IHHIIIH 11 Ill 11+11;I'll!!!11 1111111'..... .......H+ <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN [�N <br /> Address License# <br /> ELECTRICM, COMPAP <br /> SIGNATURE REGISTERED YIN FEE CURREN 'LLYLN_j <br /> Address License <br /> PLUMBER <br /> SIGNATURE COMPANY o <br /> n <br /> REGISTERED Y/..N. FEE CURREN- <br /> Address license. no <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N. , FEE CURREN: - <br /> Address- License# <br /> OTHER <br /> COMPANY <br /> SIGNATURE REGISTERED- ill,,,. FEE CURREN <br /> Address License f7 <br /> ........... ................ i 2 i <br /> cf� <br /> RESIDENTIAK;1- AttAch-(2),,PIdf.PIahs�e_(2)be biF_Ef6Ik1Ihg_.P1ain_' (i)��4 0iafti"foi <br /> t r new construction, <br /> sttu6U6n-Plans�.,Sto��wat6r�Plahs w/SkFince'installed, <br /> Minimum-le .1%wqNn aft etsUbtfil s' Required on to'n <br /> thl' <br /> Sanitary-FaplliflesA.1.durnp§t9r,,:SItq Work-Permit for subdIv191dhsflarge:PMectS. I -COMMERCIAL Attach(3)-c iomipletei,sets; of Building Plaihig plus a Life Safeity 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.Ali commercial requirements-must meet compliance <br /> SIGN PERMIT Attach(2)-sets of ftiheeridPlans., <br /> `PROPERTY SURVEY required for all NEW construction. <br /> QWMINIffiff 4 1,11; <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the 6onira&tdi)or'Power of Attorney(for the'owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -(Front ofApplication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If-,on public roadways..nee&ROW <br /> 4- <br />