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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received JDI -)IS <br /> &LLA4A4.LLL&L1W Phone Contact for Permllaing-, <br /> Owner's Name lez�vv �Homes Owner Phone Humber <br /> Owner's AddressIq e5s5� Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS co-1(f�y 10 �( )L uo LOT 0 <br /> SUBDIVISION Al"I eV <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR� ADD/ALT' SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Qii BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Q�I On <br /> BUILDING SIZE F_ SO FOOTAGE= HEIGHT <br /> 1 1444-1444444.NW44 ....... ... <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> ffUPLUMBING <br /> 1— 11 1 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ................... <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, <br /> Address A License# F— <br /> PLUMBER te-A COMPANY <br /> SIGNATURE REGISTERED Y/ N .- FEECURREN LE_Y/Nj- <br /> Address LH 511 Tb6hichfw V)d. .License# FL3<,)- Mat 2G i J <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN. <br /> Address License# <br /> OTHER .,CoMpANY <br /> SIGNATURE REGISTERED J' Y/ N-j FEE CURREN N <br /> REGISTER L_j <br /> Address License'# <br /> ............... <br /> I I I mfrm . I <br /> RESIDENTIAL' -Attach(2).Plot Plans;(2)sets of Building.Plans;(1)Sel of-Energy'Forms;.R-O-W Permit for now construction, <br /> Minimum ten(119)working days After submittal dalii.:-Required onsitia,ConstructionPlan;Stormwater'Plain-s w/Silt Fence installed, <br /> Sanitary Facilities&,1durppslp!-,,-SIte Work-Permit for subdiviplopisfiarge projects <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 PERMIT Attach(2)sets of Engineered Plans., .- <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 011011 "1111011 Im III ------ 11,10011 F.-MR111111a 11 1 110,M11111 milli 11111RIMP 1 1-1 IF <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. (AfC upgrades over$7300) <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(PlottSurvey/Footage) <br /> Driveways-Not over Counter If on public rosoways;.n e-eds ROW <br />