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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for 01 <br /> �Af.-A.... 99= '- <br /> owner's Name Owner Phone Number <br /> Owner's Address COMM S�' ' I Owner Phone Number <br /> Fee Simple Tltleholder'Name Own.or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS =CN W-I LOT 0 <br /> SUBDIVISION r9iWe,' I" PARCEL IDO D100 00000 OH4 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT SIGN, Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK. ton 61 <br /> BUILDING SIZE 30 FOOTAGE= HEIGHT <br /> =BUILDING VALUATION-OFTOTAL CONSTRUCTION. <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> FWPLUMBING <br /> [MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS 0ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> BUIL13ER COMPANY <br /> SIGNATURE REGISTERED Y/ Nj FEE CURREN <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L_)LLN j FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE On <br /> REGISTERED Y N FEE CURREh L_y M j <br /> Address 1_9 511 5uh 0 PD�57 CA <br /> license a'i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEECURRFN <br /> Address license#F <br /> OTHER <br /> COMPANY <br /> SIGNATUR E REGISTERED J' Y/ W. I FEE CURREN <br /> Address License#F <br /> RESIDENTIAL— Attach(2)Plot,Plans;.(2)sets of Building Plans;(1)seti of Eniergy-Forms;R-O-W Permit for new construction, <br /> Mlnimum-lien-(�jq)wqrking�,days after.submittal date.z Required onsite,-Construcfion.,Plans;,Stormwater'Pla ns w/Silt'Fenco Installed, <br /> Sanitary Facllil1eq4.1_duMpster..Site Work Permit for subdivislo-nsfiarge:pmjects <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 construcuon.- <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)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for ail NEW construction. <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. (AIC upgrades over$7500) <br /> to Agent(for the contractor)'or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DYER 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 on public roadways..n eieds ROW <br />