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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> i Building Department <br /> Date Received Phone Contact for Permittin <br /> LL144.6L <br /> Owner's Name Owner Phone Number <br /> A <br /> Owner's Address % <br /> H WD W eSS a Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F5-0t)q hy(f�p-+a)ms.aroo)he_ uy) LOT 0 <br /> SUBDIVISION I <br /> J�A" PARCEL ID9 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW COMM ADD)ALT' 0 SIGN- Q Q DEMOLISH <br /> -R INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Dn <br /> BUILDING SIZE SQ FOOTAGE=, HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL MP SERVICE QQ PROGRESS ENERGY W.R.E.C. <br /> I�PLUMBING MSOD. <br /> ]MECHANICAL VALUATION OF:MECHANICAL INSTALLATION <br /> r <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> ................ ........... <br /> HH!!!HH 1:11;Himim <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_j FEE cuRREi, <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> siGNATLIZ REGISTERED Y/ N FEE CURREN L_Y/N <br /> Address License# <br /> COMPANY <br /> SIGN 61-V Jev­WY) <br /> PLUM TURF PLUMBER REGISTERED Y N . -FEE CURREN <br /> Addmss License# I Dq-�?)a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED -Y=1N FEE CURREN. <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED l' Y/ N-j FEE CURREN L_jLNLj <br /> Address License# <br /> RESIDENTIAL, Attach(2)Plot Plans;:(2)sets of 6611dlng Plans;(1)sdt of EnergyForms:R-O­VV Permit for now construction, <br /> Minimum,ten-(10)wqrkipg-days after subMittai'dabi.:Requlred onslw;-6hstiucti6n Plans,Stormwater'Olans w/Slit Fence installed <br /> Sanitary Facilities&.1,dumpster,:$IteWorkPeffnit for subd[Vislonsfiarge projects, <br /> COMMERCIAL Attach(3)complete sets of Building Plains 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/Slit 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)'setsof Engineered Plans.%. <br /> -PROPERTY SURVEY required for all NEW construction. <br /> ...... luil, o-11 IqI -, ­P11,11 I- Rim I 1111111111.11pprr.111. 11111 1, <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,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 /> 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 ion public roadways..ne-eds ROW <br />