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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 Permitting- 1916- ul 51 <br /> LLL2 7 <br /> Owner's Name Owner Phone Number <br /> Owner's Address UO Qff-S!S St Owner Phone Number nY <br /> Fee Simple Titleholder Name F__ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS WcAq on Iya I SA LOT 0 <br /> SUBDIVISION 1 N aawt 0 1 PARCELioxbl,,�- a.W -a1 - 0DS0-00LQX-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT' SIGN DEMOLISH <br /> .R INSTALL 8 REPAIR <br /> PROPOSED-USE Q SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK IV6 6A0 -Hon ln��cal <br /> BUILDING SIZE SO FOOTAGE=. HEIGHT <br /> ......—. k44444444444444 I I <br /> =BUILDING VALUATIOWOFIOTAL CONSTRUCTION <br /> =ELECTRICAL Is AMP. SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> #PLUMBING 1$NOD- W I <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L_YIN J FEE cuRREN JY/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREII <br /> Address License# F <br /> PLUMBER COMPANY iAe_"d�,Yson Wn i I on <br /> SIGNATURE REGISTERED Y/.N FEE CURREh N I <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_Y N J - FEE qURRB <br /> Address License#F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I NT _�FEE cuRREN <br /> Address License# <br /> 41tHiit W.JaIDIA&HIffill........;I;;RMHHII1II%............................. ................. <br /> RESIDENTIAL Attach(2),Plot.Plans;.(2)Sets of Building.Plans;(1)sell:of Energy:Foi-ms;R-O-W,Permit for-new construction, <br /> Minimum-tel)-(.10)working days after Submittal dat6.;,RequIrbd onsite,-'Cohstiucdon;Plans Storrn.water-Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,.-SIW Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(3)comolete'seti of Building Olaini pl6s a Life Safety Page;(1)set of Energy Forms.ROW 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&1 dumpster.Site Work Permit for all now projects.All commercial requirements.Must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "PROPERTY SURVEY required for all*NEW construction. <br /> OMMIP110pul 111F.111,1111 1.1PRIP11 III qqlm 1101IR1111-1 IM11 I mcirl 111111pol, 114 I-gig <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. (AIC 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 /> DYER 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 />