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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 Perm <br /> Owner'sNam® Lltnmv i�me5— Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [5N tdev) 1aA2 LOT 0 <br /> SUBDIVISION I VeV PARCEL 100 �-al- 0100-C=-0510 <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED R NEW CONM ADDIALT- SIGN DEMOLISH <br /> INSTALL F-1 REPAIR <br /> PROPOSED.-USE 0 SFR Q COW OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> 611 BUILDING SIZE 1 80 FOOTAGE HEIGHT <br /> 444" 114-44% 1-1-5-4444" M44444 <br /> L_JBUILDING, 1$ VALUATION"OF TOTAL CONSfkUCTION <br /> [ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> i$ <br /> H( <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I I <br /> SIGNATURE REGISTERED, Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ "W—T FEE CURREN <br /> Address License# F- <br /> PLUMBER COMPANY m o(Aim <br /> SIGNATURE REGISTERED I Y[N FEE CURREN Y" <br /> I <"< <br /> AddrGza License# <br /> L <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE cURREI, <br /> Address LipenseJ7 <br /> OTHER --COMPANY <br /> SIGNATURE REGISTERED ' <br /> FEE -1'-Y/ N-7 EcURREN <br /> Address License# <br /> ...................................... ............................... ........... <br /> RESIDENTIAL- Attach(2),Plot.Plans;-(2)Sets of 9611dihg.Plans;(1)set of Eniergy+�Forms;R-OW Permit for new construction, <br /> Minimum,ten,(19)vqrklngdays after,$ubmittal date. Required onsite,-CiDnstru6fi6nOians--Storr6water'01'afisw/SilfFenoeinstalled, <br /> Sanitary Facilities'&.1 dumpstqr�$lte Work-Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(3)+complete sets I of I Building Plans plus a Life Safety Pa ge;(1)set of Energy Forms.R-OW 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 EnglheeridPla ns. <br /> 'PROPERTY SURVEY required for all NEW construction. <br /> I'll I III pa - -11, 1 1,111gi gypol I -p;& <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(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -(Front of Application Only) <br /> Reioofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if public roadways..ne'eds ROW <br />