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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building,Department <br /> Date Received Phone Contact forParmittin <br /> 3 r4 if Tj ft ff il H H U 0 <br /> Oviner's Name Oviner Phone Mu niber <br /> Owner's Address C*.fnor Phone Number <br /> Fee Simple—N'Llaboldar Narile owner Phone Number --- <br /> Fee 81n.ple Titleholder Address <br /> JOB ADDRESS LOT 0 <br /> SUBDIVISION PARCELIbl" <br /> (OBTAINED FROU PROPERTi-Y.TAX NOTICE)' <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> El INSTALL REPAIR <br /> PROPOSED use SFR COMM OTHER, I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> I <br /> DESCRIPTION OF WORK 1-r�n-k- <br /> SUILDr4G SIZE SO FOOTAGEilEl�i�ii -, <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> .=ELECTRICAL LiAMID <br /> SERVICE PROORESS.ENERGY W.R.E.C. <br /> =PLUMBING <br /> ,E eVA <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> EX <br /> FINISHED FLOOR ELEVAj ONS FLOOD ZONE AREA =.YES NO <br /> k f.05 <br /> BUILDER COMPANYREGISTERED L j ---rl=- RR JE L SiGNATURE yj N F <br /> _YL N_j <br /> Address License 9 E�Lj <br /> ELECTRICIAN COMPANY Y I m-71-PSECUR-R&I, <br /> SIGNATURE REGISTERED <br /> Address License,� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED L_y L N j FEE CURREN <br /> Address License <br /> WIECHAN(CiV. COMPANY L <br /> SIGNATURE REGISTERED L_XL-N j FEE-CURR ME <br /> Address License 0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREr% <br /> License-9 <br /> Address F <br /> Ill 9 u P ii u i i a i li i a ii P n i A i i i P D P i E i a 3 a n i o i u P Ii li i o o o P o e a i a ll i o a u i a i i li i a i ii o i i il I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)`sets of Building Pi6ns;:(f)set of Energy Forms;,R-O-W Permit for now construction, <br /> Minimum ton(10)working days after submittal date. Required onsile,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities cis dumpster;Site Work Permit for subdivisions/large 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 now construction. <br /> Minimum ton(10)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I durttpstsr.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERR,1HT Attach(2).sets of-Engineered"Plans. <br /> —*PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out'6ppkiaflon completely. <br /> %owner ner&Contractor sign back of application,notarized <br /> J <br /> If over$2600,a Notice of Commencement Is required. (AIC upgrades over$7600) <br /> ft Agent(for the contractor)or Power of Attorney(for the owner)would be someone wfth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/8-UNOY/Foota0t) <br />