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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Received U.C. ] Phone,Contact for Permitting. 1&1�) 61DI 51 S <br /> Owner's Name ilpWs Owner Phone Plumber <br /> Owner's Address H )t Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1. E5aS!'6 _MWden LOT 0 <br /> SUBDIVISION Ridden , 11)).,1 V 7ey, PARCEL IDA11-a H- a LQ^ I -CO qO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED,USE Q SFR F__1 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK on I ni5iQ L <br /> BUILDING SIZE 50 FOOTAGE.= HEIGHT]. _7 <br /> 444444 1414444 P I I M 1!14 q I X! I R.4 P, 1 2 1 1 11 <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> E�PLUIMBING U00 ,00 1. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LIL-_NLJ FEE CURREN L=N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address Ucense# F <br /> PLUMBER COMPANYJ =CA I on <br /> SIGNATURE REGISTERED Y/.N. FEE CURREN I Y-1 14-01 <br /> Addirass U�+V'teh 'P& I License# �ls- q a� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License#.F <br /> OTHER compAxPir <br /> SIGNATURE REGISTERED Y/ N.. I- FEE CURREN <br /> License e#F- <br /> . ..... .............. ... ........ .......... <br /> .F1 RESIDENTIAL Attach(2)Pldif.Plans;(2)sets of Building,Plans;(I)s.6t of EnergVForms.;R-6411-Permit for now construction, <br /> Minimum ten(.19)working-days aftersubmittal date.:Required onsite,-Construction-Plans-,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary F.1cilitles.&I duMpster,Site Work Permit for subdivislo sAargeprojects <br /> COMMERCIAL Attach(3)complete sots of Buildinig Plainii 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&I dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2y'sats of Englneeridt Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> go IRANI 11illoill;g1l 1151111 111,111 IIIIN pi; <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 Coniractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITYING .-(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-heeds ROW <br />