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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"W <br /> Owner's Name Owner Phone Number <br /> Owner's AddressH= LO C. a I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F_ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS mts Lr),- I LOT 0 <br /> SUBDIVISION h4drim I- PARCEL 109IN-aW.- a I- 000-0=- DW4D J <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED _R NEW CONSTR-F--1 ADDIALT SIGN DEMOLISH <br /> INSTALL F-1 REPAIR <br /> PROPOSEO�USE Q SFR COMM- OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Clfl On I rif)io I I <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> 6-�� M44444444444N 4-84444151 <br /> BUILDING 1$ VALUATION-OF TOTAL CONS-fhUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> NOID-DO <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES. No <br /> +H+++H I I I I I .................... <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED FEE CURREN LjL_N__j <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> I f ficAn i (y) <br /> SIGNATURE REGISTERED Y/ N. FEECURRE!% 'LVN_j <br /> Address [H bl I 1?�hWcm M , 1 License# Ma 2) <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y=/ N FEE CURREK <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE j REGISTERED l'_Y/ N, I FEECURREK LXLN� <br /> Address License# F <br /> ........................ <br /> Hi"440" <br /> RESIDENTIAL Attach(2),Plof Plans;(2)Sets of 8611dihg.Plans;(1)set of EnergV-Foirrns;R-O-W'Peffnit for new construction,. <br /> 'Mlnlmum.ten-.(j0),w orkIn.gd In ays after s6bIttal-daW.:Required onS'Ite,-Cons6uc6on:0lans;-Storm r"watePlans W1 Slit FenceInstalled, <br /> Sanitary Facilities&.1.durnpster;,,Site Work Permit far'subdivislonsfiarge projects. <br /> COMMERCIAL Attach(3)complete sets of guildirig Pidni6i plus a Life Safety Page;(1)set of Energy Forms.R­O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,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)setsof Engineered-Plans.- <br /> ""PROPERTY SURVEY required for all NEW construction. <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. (AfC upgrades over$7500) <br /> to 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 /> Reroole If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if-on public roadways..ne'eds ROW <br />