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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 Parmltd <br /> Owner's Name V1, C rL1 Owner Phone dumber <br /> Owner's AddressIU00D U) CQ Q ea) Sv Owner Phone Number F_ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS fteS�cyUmyue loy) LOT <br /> SUBDIVISION ffidden PARCEL ID#jaH_atQ-3)- NOD- <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADDIALT' SIGN DEMOLISH <br /> INSTALL Fj REPAIR <br /> PROPOSED-,USE 0 SFR F-1 COMM 0 OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK * Cj FRAME Q STEEL <br /> DESCRIPTION OF WORK. <br /> BUILDING SIZE 3.0 FOOTAGE= HEIGHT. <br /> 111'1444-W I 144 1 2 111!111114 1 1 9 A 1446IW444444444 <br /> =BUILDING VALUATION OF_T0' TAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING i$tqDD <br /> -OD' <br /> =MECHANICAL 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 L_-=N FEE CURREN <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> 6e(CL�W <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Egg FEE CURREN = YVA <br /> Address License#'I Lltb—CP <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN, <br /> - Address License#-F <br /> OTHER COMPANY' 1.1 <br /> SIGNATURE REGISTERED Y N_ I FEE CURREN <br /> Address F License# <br /> ............................. ...... 111184% ................. <br /> + <br /> RESIDEN71AL- Attach'(2)Plot Plans;(2)sets of Builditig-Pla'its;('I)'set ofEnet' jrForims;'R-O-W Permit for new construction, <br /> 'Minimum.tep-(10).wo'rk'lng�days after.a6bmittal'daW.:Required oniltoxonstrucIt6n Plans-,Stormwater'Pla' ns w/SlIt'Fence installed, <br /> Sanbry'Fa0111i &Facilities .I..dump§teLr,,Slte.WorkPermit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of BuIIdIh4 Plans 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/Slit 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 Engineered Plans.-, .- - <br /> ""PROPERTY SURVEY req ulred for all NEW construction. <br /> _ <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over MOD.a Notice of Commencement to 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 /> Rerools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if:on public roadways..-needs ROW <br />