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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> 7 Building Department <br /> Date RecbIVed", <br /> Phone Contact for Permitting <br /> M=n�=4444A" ................ <br /> Owner's Nam. 1.0 t 0 Owner Phone Number <br /> Owner's Address 136 S`49 A--co/--k At---- Owner Phone Number <br /> - n Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple"ritleholder Address <br /> JOB ADDRESSLOT# <br /> [37F5 T�a <br /> SUBDIVISION PARCEL ID#1 W-2-t. -2 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK k6POSED� e <br /> . NEW CONsTR F-1 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION De BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK S F <br /> BUILDINGISIZE F ISQ FOOTAGEC� HEIGHT <br /> 4, <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION, <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHH <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURREN <br /> Address, License# <br /> PLUMBER -COMPANY <br /> SIGNATURE REGISTERED. Y/ N" FEE CyWiFN LILN <br /> Address License# [ <br /> MECHANICAL COMPANY" <br /> SIGNATURE REGISTERED . 1- Y./ N. I FEE CURREN <br /> Address. License#:F7 <br /> OTHER,,. COMPANY <br /> 'SIGNATURE. REGISTERED I Y/ N FEE CURREN LILN_J- <br /> Address License# c-cc -0 77--?t4 <br /> ............... ........................ <br /> I I H 11 1,1111111111!'111111111111 R+ <br /> .....Forms;...... <br /> 961 AL AttachofOI4 Pllani;'�(2).sits,bf Building Plans;'_(1).setof Energy R­6-w0ermlt for new.constru cfion,.. <br /> Minimum 1:66"(Iby'w"Orkihg days 6ft6i s;Ubmitial'--daie;-Requ;ked onsft6,ConstruCti6nPlan,si-Stormwater Plans Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisidnsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufe.Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mihlmum'ten(10)...working days after submiftal.date..,,Required.onsite,Construction Plans,.%ormwater Plans w/.Silt Fence ins I tailed.' <br /> Sanitary-Facilities&'I dumpster.Site Work Permit for allI,ne4'Projects.All commercial requirements must In.eat.compliance <br /> SIGN PERMIT Attach(2)-sets-ofEngineered-Plans. <br /> ****PROPERT.Y.,SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor.sl§nback of application.,notarized - <br /> Miover$2500,a Notice of.Commencement Is required. (AIC upgrades over$7500) <br /> Agent#bf the contractor)or.Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE-COUNTER PERMITTING. (Copy,of contract required) <br /> 'Refobfsff shingles -Sewers" Servid6*0eddes A/C': Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter,if on public road1w6ys..ne_e'ds ROW,, <br />