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813-780-0020 City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting- <br /> LA4.LLU.................... <br /> Owner's Name LCnyy,y- itmes Owner Phone Number <br /> - <br /> Owner's Addresslqym U) C, ws.5 T Owner Phone Number <br /> Fee Simple Titleholder Name, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Imbs LOT# <br /> SUBDIVISION PARCEL ID#Iaq-a LQ- R I Ok 00-00000-01AD <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT' SIGN- DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED-USE Q SFR ED Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME E�D STEEL <br /> DESCRIPTION OF WORK. WW)�Dn <br /> BUILDING SIZE 3(a FOOTAGE HEIGHT <br /> logo lot I82122IN11t4. <br /> =BUILDING $ VALUATION"OF TOTAL CONStkOCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C.- <br /> PLUMBING. <br /> 1$ 11 DO <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION. <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRM <br /> Address License#. <br /> PLUMBER COMPANY WNgCtHon <br /> SIGNATURE REGISTERED Y/ N• FEE CURREN - I YYN <br /> Address License.# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED . Y/ N FEEqURREN: <br /> Address License#-F <br /> OTHER <br /> COMPANY- <br /> 'I RE SIGNATURE REGISTERED 1' Y1 N.- FEE CURREN <br /> Address Uc4nse#- <br /> RESIDENIIAL, Altach:(2),Plof Plans;_(2)sets of 06ildingf Plant;(1)`6i ot-Energy�Fonns;A-O-W Permit for now cohstruction.. <br /> Minimum-tap(10)working hays after.s6bmittal date.`Required ohift.:666stiru-cdon'Plans;Stormwaterlilans w/Silt Fence installed, <br /> Sanitary FaclljUe4.&.,I.:duMpster,.-$ItqWork Permitfo.rsubdivi.slo,nsfiarge:projeoW <br /> COMMERCIAL Attach(3)completeiseti of Building Plainsplus a Life Safety Page;(1)set of Energy Forms.R-OW Permit for now construction. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 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(2)abWof EhgIheare­d_PIa_n*s. <br /> ""PROPERTY SURVEY required for all NEW construction., <br /> I C 1 F I <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. (A/C upgrades over$7500) <br /> to Agent(for the contractor)or Power of Attorney(for the'owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING -,.(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PloVSurvey/Footage) <br /> Driveways-Not over Counter Ifon public roa0ways-needs ROW <br />