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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone�Contact for ft RUM I L71 <br /> ------------- <br /> Ownses Name wv)CAY -kAwl-cs Owner Phone Number <br /> Ouvnees Address (PQQ U3 W KeSs S-k Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS D- LOT 8 <br /> SUBDIVISION PARCEL 11016105 AQ - a. I- QC60--DOWDO <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSM ADD/ALT' SIGN Q 0 DEMOLISH <br /> ' R INSTALL REPAIR <br /> PROPOSED.USE Q SFR F-1 comm OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK A-Ion i n-�3, +cl I I <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 4PLUMBING 1$ U 00 00 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA. ®YES NO <br /> HHH............... .............i.......................... ............. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREt, <br /> Address Ucense# F- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREII <br /> Address Ucense# F <br /> - <br /> COMPANY <br /> PLUMBER A, SW <br /> SIGNATURE ii I o REGISTERED YIN FEECURREh.- ILIY/N <br /> Address License# C11-a 3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N- FEE CURREK L_YLN J <br /> Address F-, I-Iden'se#- <br /> HH* --111111H HIM!............................................ .................... <br /> _7 <br /> RESIDENTIAL- Attach(2),Plof-.Plans;(2)sets of au'lldlhg.Pl ains;(1)set of Energy:Formis;R-O-W Permit for new construction_ <br /> Minimum;-ten�(-jq)working days aftersubTfiltiall date.-Required onsibi,'Consiruction Plans;Stormwater'PlafIs w/Silt Fence Installed, <br /> bry'SanFacillUes&,I-.dump§te!-,-;Bite.,Work,Permit for subdivislonsfiargepajects. <br /> COMMI RCIAL Attach(3)complete sets of Building Plains 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)-sets of Engln,eeinid'Plans. <br /> "PROPERTY SURVEY required for all NEW construction. <br /> Dliections: <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 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 /> DrIvevirays-Not over Counter If-,on public roadways-needs ROW <br />