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813-780-0020 City of'Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 6 , 0-7 <br /> Phone Contact for Permitting- I <br /> A IP-R 0.... .. . ................. ................ <br /> Owner's Name Lex)MY A-11wes Owner Phone Number <br /> wr <br /> Owner's Address 14LQW Owner Phone Number- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 9 <br /> SUBDIVISION -PARCEL ID#I OH a I- V 100 —WLXX - <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT.- SIGN- r_7 F__j DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED-USE Q 'SFR Q COMM, OTHER <br /> TYPE OF CONSTRUCTION :BLOCK FRAME -STEEL <br /> DESCRIPTION OF WORK _V1 DY) vSiQ I I <br /> BUILDING SIZE n-S_Q FOOTAGE=- HEIGHT <br /> A A 1 i <br /> BUILDING 1$ VALUATION.'OF TOTAL CONST.RUCTIO.N <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C, <br /> PLUMBING <br /> 1 1$H00-00 <br /> =MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS Q ROOFING SPECIALTY, OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE& NO <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED YIN FEE CURREI, LILN J <br /> Address License# F_ <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED L4LP—j FEE CURRF-11 <br /> Address LicensesT <br /> flff-d <br /> PLUMBER COMPANY = \\r��eo+ ion <br /> SIGNATURE REGISTERED I YVN FEE CURR N YM <br /> rl,-) <br /> Address 19 H M+V1 t License# I LSS- 0013"N <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEECURRB: <br /> Address License#.F_ <br /> OTHER COM PAkY,*' <br /> SIGNATURE REGISTERED Y/ W__ FEE cuRREK <br /> Address License#v <br /> S A 1 l 1 A 1 <br /> Attach '66ildi" 'Pl"'i ni­ F RESIDEWT[W- Atta (2).Pl6t.Plans;(2)idti Of nj ans setof-E-ergy' orms;R-O-W Permit far new.Construction- <br /> 9. <br /> Minimum.ten,(19),working,�.."days aftersubmittal dat6.=Required o6ilf6i,'Cbhsliiii666-n Plans;,-Storrnwater'Plans wl Slit"Fence installed, <br /> sanitary Fad!!Hq4:&.-t.du!npste;-t-;Sllq;Wo!k�Permit for subdIvIsIons/Iarge prqjectk <br /> COMMERCIAL Attach(3)'co_M_pldI6-iets'Oi bUildidg(Plairis plus I a Life Safety.Page;(1)set of Energy Forms.R-O-W.Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial Tequirements,must meet compliance <br /> SIGN PERMIT Attach(2)'siiits of Ehgjheerd&PIans.. <br /> ****PROPERTY SURVEY required for all NEW construction.. <br /> ------------ ---------------- <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 6ontradtor)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-on public roa4ways-nieds ROW <br />