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813400-0020 City of Zephyrhills Permit,Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> --t-FZ-ri-i-)- <br /> Owner's Name 1911K <br /> r1 Owner Phone Number <br /> Ownor's Addross a�Owner Phone Number <br /> Fee Slrnplo Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> I <br /> JOB ADDRESS I Cod 1 8 1 VC1 I LOT <br /> SUBDIVISION PARCEL ID# <br /> - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN = = DEMOLISH <br /> j B INSTALL 8 EPAI <br /> PROPOSED.USE = SFR 0 C0.11.1 F-0tj OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q <br /> DESCRIPTION OF WORK pAurzhm I(/lam <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> r , <br /> =BUILDING S� p► VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S . 0 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> - =PLUMBING <br /> =MECHANICAL $. VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> i BUILDER COMPANY 4;pkvl c t) &G <br /> SIGNATURE REGISTERED YIN FEE CURREA I Y/N <br /> Address GAWN164ii-hs License# GBG MILD <br /> j ELECTRICIAN COMPANY <br /> e c. <br /> SIGNATURE REGISTERED. 1 N FEECURRE\ I YIN <br /> Addross Ucense# <br /> PLUMBER COMPANY <br /> SIGNATURE L REGISTERED Y/N FEECURREA I YIN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURIE\ I Y/N <br /> Address License# <br /> j OTHER COMPANY <br /> j SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> i <br /> i <br /> Address License It <br /> IIIIIIIIIIIIIIIIIIIIIIIIl.111111111111111111111111111111111111111111 <br /> RESIDENTIAL A(tach,(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new Construction, <br /> Mnimum ten(10)working days after submitlal date. Required onsile,Construction Plans,Stormvrater Plans w/Silt Fence installed, <br /> Sanitary Facli0es 81 dumpster,Site Work Permit for subdivisionsAarge protects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plps a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constriction, <br /> jMlnlmum lea(10)t}erelong days after submilial dale.Required onsile,Construction Plans,Stom viater Plans w/SRI Fence Installed, <br /> Sanitary Faa7ities E,i dumpster.Site Work Permit for all now projects,All commercial re:qu!rements must meet comp0ance <br /> SIGN PERMIT Attacti(2)sets of Engineered Plans. <br /> •'•'PROPERTY SURVEY required for all NEW construction. <br /> - 6-' <br /> Diractions: <br /> Fill out applcation completely. <br /> Ormer ti Contractoi s!gn back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Pa'ser of Attorney(for the ottner)would be someone with notarized letter from ahner authcrizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadw ays..needs ROW <br />