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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received hone Contact fop Permitting- Gl!� <br /> 'ip� <br /> Owner's Name U W Owner Phone Number ffAV <br /> Owner's Address H X0 C YIL4 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS RUE)R LOT 0 <br /> SUBDIVISION 571 tVeyC)LC1() I PARCELID0105, -aw, 91 -C)oso -00oco-OoLf <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN 0 0 DEMOLISH <br /> - R INSTALL REPAIR <br /> PROPOSEMUSE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q -BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK- on <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 1. <br /> 1 14941 <br /> =BUILDING $ VALUATION`OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> *PLUMBING 1$10-oa ob I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> HHHHHHHHH!..... <br /> HH!H <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address Ucense# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREIN <br /> Address License# <br /> PLUMBER COMPANY &.a—p �VyAr'14-1'Icr <br /> SIGNATURE REGISTERED Y/ N. FEECURREI% - I Y-/A <br /> Address H C51 I &+o lt m P0 License# I ua>�-(M N <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 .Y1 N FEE CURREN <br /> Address License# <br /> OTHER L SIGNATURE REGISTERED Y N FEE cuRREN Address License 4-F H.H.H." ............... <br /> ........... <br /> 1"rm RESIDENTIAL Attach(2).Plot-Plans;(2)sets of Bui lkllhg�Plans;(1)'ii)i of Energy-Forms;R-O-W Permit for new construction, <br /> Minimum tep,(10)working days after submittal dat6.:Requlr&d onslte,-Cohs6ctI1onPIans;-Stormwater-Olaiins w/Slit Fence installed. <br /> Sanitary Facilities&,l.dumpster,.-,Site,Work,Permit for subdivislonsAargeproject§ <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-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 PEMOT Attach(2y'siets of Engineered Plans. <br /> "'PROPERTY SURVEY required for all NEW construction. <br /> 01 11101111010 P1 .111pollpi-11 1- ."111.0111 1111PRI 1 11-11111 ilgall.11 Jill 1,1111 <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 /> 00 Agent(for the contractor)or Power of Attomey(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 A10 Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If-on public roadways-needs,ROW <br />