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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 Pe Itting,-.1is-13 - m)ll <br /> Owner's Name Owner Phone Number <br /> Owner's Address CIQ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Dy, Tyal I N LOT 0 <br /> SUBDIVISION PARCEL 1139 05 -()DS(:)-WWM <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED w O STRR- ADDIALT_ SIGN DEMOLISH - <br /> N,NESTcALNL REPAIR <br /> PROPOSED-USE Q SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION - BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK CA+I On <br /> NQ 1) <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> UMM "44444-W 1 1444�g I i i FR i i <br /> BUILDING. VALUATIOWOF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> MPLUMBING <br /> lit V <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ........... <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED FEE CURREN LYILN J <br /> Address <br /> A -License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N_ FEE CURREN Y/N <br /> Address License <br /> PLUMBER COMPANY <br /> %fm <br /> SIGNATURE REGISTERED I Y/ N. FEE CURREN 'Ly.�/N <br /> Address License-# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I .Y1 N FEE CURREN <br /> Address License# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N . 1 FEE CURREN <br /> Address Lic'ense#.r <br /> 4+tH+ff ................... <br /> RESIDENTIAL- -Attach-(2)'Pidt Plans;:(2)sets.of Building.Plans;(1)set of EnerbyForins;R-O-_W' Permit for new construction,. <br /> Minimum ten(10)wqrking,days after siibMlttal'date. Required onsife,ConstrucfiowPlans;Stormwater'Plans wl Slit fence Installed, <br /> Sanitary Facilities&1.dumpster,;Site Work-Permit for subdivislonsfiarge p_mjects, <br /> COMMERCIAL Attach(3)complete sets*of'Build'161 Plane 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&1 dumpster.Site Work Permit for all new projects.All commercial requirements,must meet compliance <br /> SIGN PERMIT Attach(2)s6tsofEngIneer6d Plans.- <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> 11 MIN IN 11.qlll abool gill", app III, .............. <br /> Direction"s. <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 Attorney(for the r 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 roadways-needs ROW <br />