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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> I. (dI--Phone,Contact for Permitting- <br /> .................. <br /> Owner's Name Llcpy)t (r Owner Phone Number <br /> Owner's Address QCD W Owner Phone'Number <br /> Q C <br /> Fee Simple Titleholder Name -Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Uiolc)2) W�A Or) _%Cli I DT- LOT# <br /> SUBDIVISION C OVO PARCEL ID#1(" (91-ws-o -Caw 00 -OCR <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED' R NEW CO1NSTR,e <br /> - ADD)ALT' SIGN- r7 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED-.,USE -SFR 171 Comm OTHER <br /> TYPE OF CONSTRUCTION :BLOCK FRAME STEEL <br /> DESCRIPTION OF.WORK. <br /> BUILDING SIZE SQ'FOOTAGE HEIGHT, <br /> 14 444 -4,14 1 1 a a I 144414444-1414� <br /> =BUILDING $ VALUATION`dF TOTAL CONSTkUCTION- <br /> L_. ..JJJ_ <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.,C. <br /> MPLUMBING" <br /> Cb <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> L_JGAS Q ROOFING- SPECIALTY-. <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE& NO <br /> . .............. <br /> BUILDER COMPANY. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y=N <br /> Address License# F <br /> ELECTRICIAw COMPANY <br /> SIGNATURE REGISTERED FEE CURREh - <br /> -7, <br /> Address . ..... License <br /> PLUMBER' COMPANY for) <br /> SIGNATURE, REGISTERED I Y./-"N. J FEE cuRREt,-- N <br /> Address b Li L(N LtLTM _IjoensaiFC55-Oq:a3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED- Y N FEE CURREN, XLN <br /> Addreiiis- oF <br /> OTHER 'COMPANY <br /> SIGNATURE REGISTERED N_"j FEE cURREt, LyjN J <br /> Address License;0,-:F <br /> M&0 111 A 2 1 s a 11 R a 2 a n a I A a a ft o A a a j 8 a a 6 N b 6 11 R i a 2 1 H M a a I i a <br /> RESIDENTIAL, <br /> ANW(2),P!6f_P I6s;J(2)*iti-bf lidiiij"Plans; i i It fdr new.construction,_,_ <br /> Minimun"ton, ohslti,-C6iisWdgdh.,Oiins-,',.-Storm,wa't&*Pl6iis W/SII(Fence Installed, <br /> COMMERCIAL Attach(3)Complete sets of Building Pldnipliis'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 now projects:All commercial requirements,must meet compliance <br /> SIGN PERMIT Attach(2)eats of E6§lh".. I, - - <br /> as <br /> ""PROPERTY SURVEY required for all NEW construction, <br /> ................. ............... <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; (AfC upgrades over$7500) <br /> Agent(for the contrac'to6or Power of Attomdy{for th eowner)would <br /> ould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING {Front of-Application-Only) <br /> Rerooft If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DrIveways-Not over Counter Mon public roa4ways-n4ws ROW <br />