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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> - Phone.Contact for Permlitl <br /> -M............... <br /> Owner's Name eyrav Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name F_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS EW045 LOT 0 <br /> SUBDIVISION Y PARCEL ID;Vl()b 9W- 31 -0030 -WW0Q-031D <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADDIALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR F-1 COMM- OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE=, HEIGHT <br /> 41�� W4444U4444 141-4-11411 LA 119 A AW!As I A As!Aft I III 14444� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> [MECHANICAL 1$ t 1 VALUATION OF MECHANICAL INSTALLATION <br /> =9AS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address Llcense# <br /> ELECTRICIAN COMPANY I. <br /> SIGNATURE REGISTERED LYLN J FEE CURREN <br /> Address License <br /> A <br /> PLUMBER COMPANY aMe�ay) wngafjoy) <br /> SIGNAT URE1. REGISTERED I Y N. FEE CURREN I Y1W <br /> Address I fu Ll L)I I voc—ft I f 10 License# 1 Llt"S_ D�_Ia3R <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I.-YI N I FEE CURREN- <br /> Address License#.r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ W, FEE CURREN <br /> Address Llcense# F_ <br /> RESIDENTIAL Attach(2)Plot Plans; f Energy Foim�;R-O-W Permit for now construction,. <br /> (2)sets of Building.Plans;(1)Set o <br /> Minimum-ten,(1p)-working-days after submittal date.Required onsIt6,'Construct16wPIans-,-Stormwatef Plans wl Silt Fence installed, <br /> Sanitary FacifitiesZ,I.dumpster;,Site Work Permit for subdivisloh5flarge:pr0jects <br /> COMMERCIAL Attach(3)complet6seti I 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 wl 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 /> III oil 11,1011—A-A., <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 /> Agent(for the contractor)or Power of Atlomwlfor 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 on public roadw.ays..needs ROW <br />