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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> ao Rhone Contact for Permitting. <br /> Owner Phone Number <br /> Owner's Name Peonnv, . <br /> Ownees AddressR— o o L) w w o Le-ELL c,z Owner Phone Number F— <br /> Fee Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS 1359sal LOW <br /> SUBDIVISION PARCEL ID61(]H_a(9- 3 1- 0-001 0 0091 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSM ADDIALT SIGN- DEMOLISH - <br /> ' R INSTALL REPAIR <br /> PROPOSED,USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK c4ioo A n54ct <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> WIII...... <br /> =BUILDING, 1$ VALUATION OF TOTAL CONSTRUCTION- - <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING <br /> $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ................. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED MAJ FEE CURREN LILN J <br /> Address r License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L±) N FEE CURRE11 <br /> Address License# <br /> PLUMBER COMPANY <br /> REGISTERED Y/.N 1. FEE CURREh YWN <br /> iAcffjev�-�w WnaaW <br /> SIGNATURE orl <br /> ' lei <br /> Address 1,Ll 511 fb�el I elv�eo Llcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1..Y/,N FEE CURREN Ly N L_J <br /> Address License#J <br /> OTHER nCOMPANY ' <br /> SIGNATURE REGISTERED FEE CURREN <br /> License a a <br /> ............................................ <br /> RESIDENTIAL Attach(2),PlofPlans',(2)Sets of Building Plans;(1)set of EnargyFotms;R-O-W Permit for now construction,. <br /> Minimurn.ten(10)wqrking days after-s6brfilbi'date.:Required onsito,Cohsftcfloh-Plans;Stonnwater'Plans w/SlIt'Fence Installed, <br /> Sanitary Facilities.&-1 dumpster.,Slte Work,Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plan's plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now 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 new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans.-, , --:� - - <br /> ""`"PROPERTY SURVEY required for all.NEW construction. <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. (AIC upgrades over$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DYER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Remofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Won public madways-neads ROW <br />