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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> oeN <br /> iI3. 1 q 01 i R <br /> Date Received 7370Q-1 I 61C)16i Phan®Contact for Permitting- <br /> 1- UMCQX= <br /> Owner's Name Owner Phone Number <br /> Owner's Address00) t U D Ef f�S_ Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address -1 1 LQ 7Ct LOT#-�M- (0 a q <br /> JOB ADDRESS =2),Locl <br /> SUBDIVISION V effi(CJ 0 PARCEL ID4105 LQ- 3 ODS 0' QQeQQ 001 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADDIALT SIGN- DEMOLISH - <br /> INSTALL 8 REPAIR <br /> PROPOSED-MSE = SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK on <br /> BUILDING SIZE SO FOOTAGE=, HEIGHT]. <br /> .......... <br /> =BUILDING 1$ VALUATION'OF TOTAL CONSTKOCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> 111500 .00 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHH"Hiiiiii H4+H+H* <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN LILLJ <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRREh ' L_jLN J <br /> Address A License# F--7- <br /> PLUMBER COMPANY <br /> SIGNATURE ' 1A (,A REGISTERED YtN .- FEE cuRREN . JvYIN <br /> Address i t License# I C155-FYI a 3 A <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YJ N FEECURREI, LX.LN J <br /> Address, License <br /> OTHER -COMPANY <br /> SIGNATURE REGISTERED I Y N.- FEE CURRM <br /> Address <br /> Llcense# <br /> ................................... ...................... <br /> RESIDEN71AL Attach(2)Plot,Plans,',(2)Sets of Builditig.Plans;(1)set Eniergy:Foimi;R-OiW PeFmItfDr new construction,, <br /> Minimum:ten(10).wo'rking,+'days afters0rhittai'date.�Required ons'It4,:CohstiuctIon,-PIans;i Stormwater'Ola'ns w/Sift Fence Installed, <br /> Sanitary'FacIlI1I'e's.&-1 dumpster,,.Site;Work-,Permit for subdhdslonsllargwprojects <br /> COMMERCIAL Attach(3)complete sets of Building OldnS 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 onsits,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(2)Sets of Efigireereid'Plans. - <br /> ""PROPERTY SURVEY required for all NEW Construction. <br /> lip 1119111 D 'Pill Moll I <br /> Directions. 7 <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (A/C 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 /> DVSR THE COUNTER PERMITTING ..(Front of Application Only) <br /> Reroofs It shingles Sewers Service Upgrades A/C. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter 1fo. n public roadways-needs ROW <br />