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8.13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Ot PhonelCo Ifting- <br /> ntact for Perm gOl <br /> Owner's Name MDM&S Owner Phone Number <br /> Owner's Address I glow W NDffss S+ " Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 0 <br /> SUBDIVISION ��Iq _1y PARCEL 11W aU 0? - OH CEO j <br /> _ 1 -0 1 GOWD <br /> (OBTAINED FROMPROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONsTR F-1 ADDiALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED,USE Q SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 'STEEL <br /> DESCRIPTION OF WORK msta(j <br /> BUILDING SIZE F SQ'FOOTAGE <br /> HEIGHT <br /> =BUILDING 1$ -OF TOTAL. TkUCTiON <br /> VALUATION OTAL CONS <br /> =ELECTRICAL AMP SERVICE 0 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 /> ...................... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_XLN j <br /> Address Uc'ense# <br /> ELECTRICIAN COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1.N FEE cuRREN <br /> Address License# L�_ Owal a 3 D) <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE qURREN: <br /> Address License# <br /> .OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREI, L _LN J <br /> Address <br /> License#-= <br /> ................................................. <br /> RESIDENTIAL Attach(2),PldfPlans;(2)sets 6f+­BuiIdlng'Plans;(1)lik oi!-Ehargy�Poiins-,R-OWPercrilt for now construction, <br /> Minimum--ten(.1 % - -icb. .11 ­­ <br /> wqdorjq�,days,after SdbrfiIttaI'dat6.'-ReOulriBd onslte,,-�- -nsWctidn°Platis-';-Stotmwatdr'Plins w/Silt'Fence'Installed, <br /> SanliBry'Facil!qes!&�-1,.dumpster,--$Ite-Work,;Permit for subdivislonp-narge projects <br /> COMMERCIAL Attach(3)Comp,IOW sets.of Building Plains 6JUir a Life safitypiage;.(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence Installed, <br /> Sanitary Facilities&1 duropster.Site Work Permit for all new projects.All commercial requirements-must meet compliance <br /> SIGN PERMIT Attach(2)sdt§ot Enolrteerdd�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=500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> 4gent(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-pn public roalways..'n e-eds ROW <br />