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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Recehied, Phone Contact for Permitting. lQal Jrcr <br /> rrrrrrrrr.......I......... ...... .. ... 'I.............. 1 11 ........... ..... <br /> Owner's Name oclag 7a Owner Phone Number <br /> Le-S- <br /> Owner's Addresslog-51 Vj:,(Ie- (eccLof L-4-P6 Owner Phone Number F <br /> Fee Simple7itleholder Name Owner Phone Number. <br /> Fee SimplwTitleholder Address <br /> JOB ADDRESS <br /> ESS Fias 51 Wif e-e-oad 7,e-01 r tf k t L& P L LOT# <br /> I. <br /> SUBDIVISION F PARCEL ID#1'0-2,-cP CQ 10 1,:>Q0-QWQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTIONOF WORK <br /> BUILDlNGSIZE SQ FOOTAGE= HEIGHT <br /> 4&44,1 1444-4 <br /> fifBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> 17 IV <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHHH !11,11111�1.1 111 1,1 H H!H HH <br /> ........... <br /> 5 a4 CCO <br /> BUILDER COMPANY LLC— <br /> SIGNATURE A�_ I FEE CURREN I REGISTERED Y/ N Y/N <br /> lev e)ox��3 M fv(+-e C, L <br /> Address &A) License#, <br /> ELECTRICIAN COMPANY <br /> .'SIGNATURE ?�REGISTEXRED Y/ N FEE CURREN. <br /> Address,:, License <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED. 1 ,Y1 N —I FEEtUkREN <br /> F77 <br /> Addresw License# <br /> - <br /> MECHANICAL COMPANY <br /> SIGNATURE.,, REGISTERED YJ N FEElCURREN <br /> Address <br /> License# <br /> 0T HEIR, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh. <br /> Adifrase . License*# <br /> ............ ................... ...........................ts,of Building Plans;,(1)setof Enei '6 W ermilf lbr.ne'w' .co s,trulction,' . <br /> r6y.FoirnS;R- J -0- <br /> Minimum tanl '6�working days after sdbm-(I lttal;date. Required dnsite,construction Plansjwftrmwatet Plans.N/Slit Fence installed, <br /> Sanitary Facilities&I-dumpster;Site Work Permit for subdivisio I nsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum-ten(I 0)*worldng days.after submittal date.',.Required onsite,Construction Plans,,Stormwater Plans wl Slit F6 nce installed, <br /> Sanitary Facilities&"I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 'SIGN PERMIT Attabh'(2).96is ofErigineered Platte, <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner .&Contractor.sign.back of application..notarized <br /> If over$2500,a Notice of Commencement is required. '(A/C Upgrades over$7500) <br /> Agent(for'the contractor);or Power of Attomey-(for the owner)would be someone with notarized letter from owner authorizing same <br /> dVERTHE.C.OUNTER.PERMITTING -(copy of contract required) <br /> 'Rerdoft if shingles Sewers Service-Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on,'P!Jbllc,,r6adwai4.:needs ROW <br /> :P <br />