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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Per-miffing <br /> Owner Phone Number <br /> - 7 <br /> Owners Name _4!D21C0d% ' I y 6 YZ^ ZYZ-4-i <br /> Owner's Address 3 7 bo-orh Df-I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 15-71121V De'v&9 hil'ie— 'DI, LOT# <br /> SUBDIVISION I W44 e—1&,0 PARCEL I D# h9-2 -Z/- ao- /0 <br /> U (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.' Q FRAME STEEL <br /> DESCRIPTION OF WORK 6"4d? .1liner-5 eDja- P_) x 7 <br /> BUILDING SIZE Sd FOOTAGE HEIGHT <br /> �4BUILDING 1$&00 'C'171 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ,=GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . &4-4- <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> m f— A _P0 1 AX, C1 <br /> BUILDER ot COMPANY D�,s!, <br /> SIGNATUR REGISTERED FEE CURREN Y/N <br /> Addre: License# 1 U�ZZ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN <br /> k1 <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> --OTHER— COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREN <br /> Address License# F_ <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 dum pster:Site Work Permit for subdivisions/large 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(10)working days after Submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dum,pster.Site 6 Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans..., <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Direct ons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nota'rized <br /> If over$2600,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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roa4w4ys..qeeds ROW <br />