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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 'aDly Phone Contact for Permitting- <br /> - �a 151 <br /> 1 s I <br /> Owner's Blame Ufflyym owner Phone Number <br /> Owner's Addressj4taCO UD CQD(C )�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS WLM)55 MD&AM �AQU Of LOT# <br /> SUBDIVISION <br /> PARCEL[Do t W 00000- 0q?o I <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADDIALT SIGN- Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK On i YN5+CA I I - <br /> t <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> .......... <br /> 44444 <br /> =BUILDING $ VALUATION.OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL C <br /> ___� AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 0 PLUMBING <br /> . 1$140D-DD I. <br /> =MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD,ZONE AREA =YES. No <br /> .................. ............................ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L_XL N j FEE CURREN <br /> Address License#1 <br /> SIGNATUR REGISTERED Y/.N- — FEECURREN - I Y/N <br /> PLUMBER COMPANY <br /> E <br /> Address License#1 (,55- (Dq a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREN- <br /> Address License# F <br /> OTHER COMPANY <br /> 13 FEE CURRa <br /> SIGNATURE REGISTERED <br /> Address License# <br /> . ........................................... .................. <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets.of BuIldlirg'.Plans,(1)set of-Energy Fo im' s;R-O W Permit for new construction,. <br /> � <br /> Minimum:ten(-jQ),wqrk1n9Aays after submittal date.;Required onilte,Constru6tion,Plans-Stormwatdrl Plans w/SlItFence installed, <br /> Sanitary Fac <br /> ilities&,I,.dufnpster,.Site Work Permit for subdivislonsnarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Planis' plus a Life Safety Page;(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/SIR Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects:All commercial requirements-must meet compliance <br /> SIGN PERMIT Attach-(2)sets of Englneerid Plans— <br /> `*PROPERTY SURVEY required for all NEW construction. <br /> 11.100, 14,11151111111 1.119 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)-or Power of Attomby(for 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 lf.,on public roadways..-needs ROW <br />