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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date RacelvW L- Phone &.Contact-for Permitting SSIR <br /> Q1 7 Owners Name Owner Phone N"mhar <br /> Owners Address lA J C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOTS <br /> SUBDIVISION HiMen � PARCEL ID#1a+i9t0-a I - DI CID-COD00 <br /> (OBTAINED FROM PROPEMY TAX NOTICE) <br /> WORK PROPOSED R NEW-CONSTR ADDIALT' SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED-USE Q SFR F-1 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Ct+(Dn )ff� CAH <br /> BUILDING SIZE SCE FOOTAGE=- HEIGHT <br /> W44444"4444-H 1-1,64.111111, 1,14444444444, <br /> =BUILDING $ VALUATION"OF-TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING <br /> 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREh Liaj <br /> Address A License# <br /> PLUMBER <br /> SIGNATURE kA4 (A COMPMY <br /> REGISTERED Y/:N I. FEECURREI, - I Wj/N <br /> Address 1HL-fl Ucense# <br /> MECHANICAL' COMPANY <br /> SIGNATURE REGISTERED YJ N FEE CURREN <br /> Address Ucense,# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED L�N FEE CURREN L_YLN_j <br /> Address License#F 1 <br /> RESIDENTIAL, -Attach(2)+PI6t.PIans-,(2)sets of gulldlhg�Pl&hs;(1)set of Ehergy:Foims;R-O-W Permit for.new construction, <br /> Minimum,.t'en-(-j0)Nar1dng,days aftersubtfilftl date.:Required onsit6,timstruction Plans-,�-Storrriwater'Olans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpste7,SIte Work Permit for subdivislotisnargwprojects <br /> COMMRCIAL Attach(3)complete sets of Building Plans plus a Life Safety Pa-ge;(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&I dumpster.Site 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 /> ----------- <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 contractor)'or Power of Attorney(f&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 roadways..-needs ROW <br />