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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department <br /> Data Received Phone <br /> Contact for Permitting- 51 1� <br /> KIM= 11, 3M:1 ------ <br /> Ownees Name Y Owner Phone Number <br /> Owner's Address low W Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address F_ <br /> 1 -2-N <br /> JOB ADDRESS 1,jg�p k c Ln LOT 6 <br /> SUBDIVISION 11-WOM hV'QF1' PARCELIDNIA-5b-'a I- 0100- CMDO 02d"5*0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEWCONSTRM. ADD/ALT' SIGN DEMOLISH <br /> INSTALL E:] REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> C DESCRIPTION OF WORK A(A�- Anti <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> 414-1,44111414.............. <br /> BUILDING VALUATION OF TOTAL CONS-fkUCTiON <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PPLUMBING <br /> . hHOD- 00 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0ROOFING -_F_j SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES. NO <br /> ............... <br /> BUILDER COMPAMY 1 —1 <br /> SIGNATURE REGISTERED _Y1 N FEE CURREN L_Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED NLj FEE CURREN 'L_Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ W I- FEE CURREN Y-1W <br /> Address HILKA1 1b0h1f,'Y1M License# Mdm -1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I .Y/ N FEE CURREN <br /> Address License# <br /> OTHER -COMPANY , <br /> SIGNATURE REGISTERED FEE CURREN 7-7-7-F-1 <br /> Address License# <br /> ................................ 16 3 14 1 . ............... <br /> RESIDEWTIAL: -Attach(2),ftt Plans;(2)i6ts'of 13611dinig.Plan,a;(1)set of Ener 9'y%Forims,.R--O-W Permit for new construction,. <br /> 'Minimum.ten(10)•worklngAays aftersilbrr ittai'dat6.:.Req*ulred onsita Xonstruction Plans;Stormwater Plans wl Slit Fence Installed, <br /> Sanitary Facilities&.1.dumpster.,Site Work;Permit for subdivislonsfiarge-pTojects- <br /> COMMERCIAL Attach(3)complete sets of building Plans plus a Ufa Safety Page;(1)set of Energy. Forms.R-O-W Permit for now 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)Sets of Englh,eered-Plans., <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> RIM RIIIIIIIIIIIII I'll 11119 <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 /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..-needs ROW <br />