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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0D21 <br /> Building Department <br /> Date Received Phone Contact for P <br /> UA&U 11111 111-A 196 ermitting <br /> Owner's Name Owner Phone Number <br /> Owners Address (VOU I alf V Owner Phone Number- <br /> Fee Simple Titleholder Name Owner Phone Number F777 I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION I\Orlff) PARCEL IM PH W 01 I -C(00 0= <br /> (OBTAINED FROM PROPEMYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT' SIGN DEMOLISH <br /> R INSTALL 8REPAIR <br /> PROPOSED.USE SFR F-1 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK- v t -0 <br /> BUILDING SIZE ISO FOOTAGE,= HEIGHT. <br /> A IN it vu 1 1 PA44444444444 M! 64� <br /> BUILDING 1$ <br /> VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> E PLUMBING <br /> 1$ <br /> =MECHANICAL 1$ 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]LLNLJ FEE cuRRE, <br /> Address License# F- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L_yl_N FEE CURM J <br /> Address License# <br /> A <br /> PLUMBER COMPANY W <br /> SIGNATURE REGISTERED I Y/,NJ_ fEECURREK <br /> Address 1L_n11 'LL)M I OACM M License# <br /> MECHANICAL+ COMPANY <br /> SIGNATURE REGISTERED L YJ N. FEEcuRREr,_ <br /> Address Ucensa#.F <br /> OTHER ,COMFANY­ ' <br /> SIGNATURE REGISTERED FEE CURREt, <br /> Address License#- <br /> ........... ... ........ ... ........... <br /> a RESIDENTIAL+, Attach(2).�,PIdtf-Plans'- its dB66 ngf ans; at oUEn6r9y+Fohns-R4�-W Permit for(2)i Ildi PI new construction, - <br /> Minimum.te submittal data Required ta.' <br /> T 10)wqrking-jdaysafter onil -C6nstr661I6n-PIans StormwaterOlahsw/Slit Fence Installed, <br /> Sanitary Facllitles.&.I.durnpsteq�'SIte,Work,Permlt for subdivisloftflarge'py6jects.' <br /> COMMERCIAL Attach(3)-com`plete sets of Building Plains' 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 w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)setsof Englpedrid Plans.- <br /> 'PROPERTY SURVEY required for all NEW construction. <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. (A/C upgrades over$7500) <br /> Agent(for the&niradtor)'cr-Power of Attorney(foe the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING -(Front ol'Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DrIvsways-Not over Counter if on public roadways-n-eeds ROW <br />