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813-760-0020 City Of Zephyrhills Permit Application Fax-813-780-CM <br /> Building Department <br /> DM Received <br /> Phone-Contactfor Pormittinq <br /> I 1i <br /> Ocarnsfe NameAA66%- Owns hone Numiar <br /> k---' <br /> Owner's Address Owner Phone Number <br /> Poo Simple Titleholder Name i Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOaADDRESS LOT- <br /> 2" L I f—c'A <br /> SUBDIVISION �v e-ee--ew PARCEL 101 <br /> (08TAM0 Fft(1111 PROPERTY TAX urrncs) <br /> WORK PROPOSED NEW CONSTR AODIALT SIGN Q DEMOLISH <br /> R INSTALL Lj REPAIR <br /> PROPOSED USE SFR Comm OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME U STEEL <br /> DESCRIPTION OF WORK <br /> BUILDINGSIZE 80 FOOTAGE. .. . . . I . . . . . . . . . . . . . . . .. . . . .. . .. . . . . . . . . . .. . . . <br /> [BUILDING F VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL S AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> 071PLUMBING <br /> 1,csw <br /> [MECHANICAL 8 VALUATION OF MECHANICAL INSTALLATION <br /> r—jGAS M ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 6.4 1116-1164-1 0 11 11 11 M D 1 It <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED I YIN FMCURM LUN J <br /> Addrams <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURRaN LILN—j <br /> Addveso License <br /> PLUMBER COMPANY <br /> SIGNATURE RMSTERED 14 Pat Writer. I YfN <br /> Address �- ! License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED .1 Y/'N FEeCMM L.XLN J <br /> Address License it F— <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-D-VV Permit for new conStruCtion, <br /> Minimum ten(10)workIng days aftersubmittel date. Required onsito,Construction Plans,StormwaterPlans w/Silt Fence Installed, <br /> Sanitary,Fccililies&I dumpster,Site Work Permit for subdivIsloosilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page:(1)set offmoray Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onslte,Construction Plans,Stormwater Plans wl Slit Fence Installed, <br /> Sanitary Faellitles&I dumpor.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "**PROPERTY SURVEY required for ail NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . <br /> Direction!: <br /> Fig out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over-$2600,a Notice of commencement to required. (A/C upgrade*over$7600) <br /> Agent(for the contractor)or Pow-at Of Attorney(for 1111a owner)would be Someone with notarized tatter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract requirid) <br /> Rerooft if 9hringies ,Sewers SeNce Upgrades A/C Fences(PloYStuvey/Footage) <br /> Driveways-Not over Counter If an public roadways.,needs ROW <br />