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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelled <br /> [Phone Contact for Permitting wo <br /> 'Lilt ..I It If............ <br /> Owner's a'ma & 12� d er Phone Number <br /> LQ <br /> Owner's Address ;?(OG52 Sh 2)-- Owner Phone Number <br /> Fee Simple TitleholderName Owner Phone Number <br /> Fee SimpI61itleholder Address <br /> JOB ADDRESS Fi4 qxp G6J 1 G J VC/ LOT 9 <br /> SUBDIVISION PARCEL ID# 14'26%21—Dot 0—00,FOO— 0120 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL. REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER F_ <br /> TYPE OF CONSTRUCTION OaBLOCK Q FRAME 0 STEEL <br /> DESCRIPTI ON.OF WORK itnAd ?VC Fence 5v_,rroLxn.d;aq biek &f- ks&* 10,�a <br /> -BUILDING-SIZE SQ FOOTAGE HEIGHT <br /> =6.UILDING <br /> no VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATO <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURiE )I_REGISTERED Y/ N FEE CURREN <br /> Add r!�ss J License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Addr qs,S' License# <br /> PLUMBER: COMPANY <br /> SIGNATURE REGISTERED Y/ N­; FEE CURREI, <br /> Address- License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE, REGISTERED I -YJ N-il FEE,CURREN <br /> Address <br /> License# F- <br /> ,.PTHER,::.,-1'1 COMPANY <br /> SIGNATURE _REGISTERED Y/ N FEFCuRREI,. <br /> Address F-7 License# F <br /> i i1i H1.1 I i I I I!,I I I I Hff I I I I I I f I I I I I I I I f I I I I I I I <br /> :RESIDENTIAL Attach.(2)plot,Plani;:(2)seWof Building Plans;.(!)set of Energy,Forms,R-O'W Permit forriew construction, <br /> Mlnirnuin ten(1i))working-days-afte.r submittal date.,Requfred-6ns'it6,Construction Plans;Stormwater Planswt-Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivislonsfiarge projects <br /> .,:"COMMERCIAL Attach(2)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(1p)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 End!'neared Plans, <br /> "*'PROPERTYZURVEY required for all NEW construction. <br /> T i 1 1 l 1-1 PPI 1 <br /> ------------Directions: <br /> Fill out application completely. <br /> Owner&Ccmtractor.slgq,back of,application,-notadzed, <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)orPower of Attorney(for theowner)would*be someone With notarized letter from owner authorizing same <br /> -OVEICTHEZOUNTER PERMITTING (copy-of contract"re uired) <br /> Rerd A if shingles 'Sewers Service Upgrades A/C Fences(Plot/Survey/Footage} <br /> Driveways-Not over Counter if on public ro'a-dways..needs ROW <br />