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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 1-5-T-51-- Yo�t :-Phone,Contact'forPormitiii)R- t%11- <br /> Owner's Mama i I 41�ffl J:Iome' Owner Ph____S Number <br /> Owner's Address W C� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Nod__ LOT 0 <br /> SUBDIVISION 1�5� V NOW 1 PARCEL 100FOLI (5?(p- a I- CDI D -o ol DO- C0,5b I <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED -.NEWCONSTR,M- ADDIALT SIGN- DEMOLISH <br /> - R INSTALL F-1 REPAIR <br /> PROPOSEMMSE 0 SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME 'STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT., 71 <br /> ........ a 1-4-1 1 1 1,44'-11 U.I.go log 1121syll NPI!.... 9pallwal <br /> =BUILDING VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING E51- <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ]YES. NO <br /> BUILDER. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address T License#'1_7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Addres's License <br /> PLUMBER * r <br /> COMPANY chkv� 4�C <br /> SIGNATURE REGISTERED I Y/jN-- I.- FEE CURREN JY/N - <br /> Address 'License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED, YJ N FEE CURREN: <br /> Addreis" .Ucense# <br /> OTHER <br /> IcOMPANY <br /> SIGNATURE REGISTERED 11 Y/ N.-A FEE CUkRE h Y/N <br /> Address License* <br /> 61+4"4H &I !HHHHHHi SiHo"HH"i it Ili!H lags HHHII Hs <br /> 1)set of-:6'id'rb y�iF06�.I Permit far new construction,RESIDENTIAL,,,��; Attach r <br /> Minimum'IpIT(-1-9)working,,days.aftersu*hifiltfai'datei. Required ofia;166,:Cb I-stru dthin:pi a n&;�Stormwaidf Plans w/Si It Fence installed, <br /> Sanitary'Facilities Work-,Permit for subdivislong/l It <br /> COMMERCIAL Attach(3)oomp'1669 sets of Bulkilrit(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 Plains,Stormwater Plans w/Silt 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)`sdt9 of Eh§Irje4r.id Plans.1* .--: <br /> 'PROPERTY SURVEY required for all NEW,construcbon. <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 coniri@ictor)'or-PoWer of Attomdy(Ibr the owner)would be someone <br /> o.meone with-notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Mot over Counter Ifon public roadways..needs ROW <br />