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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 PermllltthlviL� <br /> ............. <br /> Owner's Name t +mes Owner Phone Number <br /> Owners Address Lour'101 Lp 0_IPLEM Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT a <br /> SUBDIVISION PARCEL IDO C)4 a tV -19 1—DOSO-COE)OD <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = Q DEMOLISH <br /> ' R INSTALL 8 REPAIR <br /> PROPOSED:USE = SFR COMM OTHER I <br /> TYPE or.CONSTRUCTION tt BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK A t I <br /> BUILDING SIZE SQFOOTAGE=, HEIGHT f <br /> F--IBUILDING VALUATION 00 TOTAL CONSTRUCTION <br /> 1$ <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> PLUMBING i$ l-y Q0 i <br /> 4--4—V <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . <br /> ­HHHHHHH .......................... ............ H+H4+H* <br /> ,BUILDER i i COMPANY I <br /> SIGNATURE REGISTERED I YIN I fEECURRM LILN_� <br /> J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN J FEE CURREh LILN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE- REGISTERED I Y/-N FEEcuRREN . 11-YIN <br /> Address License 41LS5-(Dqa5� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1-Y/ N FEEERREt, <br /> Address License#.F— <br /> 0099PANY <br /> OTHER <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License <br /> ................................................................HH <br /> RESIDENTIAL, Attach(2)Plot Plans;(2)sets,of 8 1 ulldiho-Plans;(1)set ofEnirgy:Fo6s;-i;t=o=w-P6r'ml"tfbr'newconstrucUon,. <br /> Minlmum.ten(1,0).workingdays after submittal <br /> L data.;Required omilliXonstiuction 14/Silt Fence Installed, <br /> Sanitary Facil[Ups.&--I,du!npster,,Slte-Work-Permit for subdivislonsfiarge pjajects <br /> COMMERCIAL Attach(3)complete sets of dulidfrig Plans 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/Slit Fence Installed, <br /> Sanitary Facilities&I clumpster.Site Work Permit for all new projects.All commercial requirements,must meet compliance <br /> SIGN PERMIT Attach'(2)sets ofEhglneerid,Plans.. <br /> ****PROPERTY SURVEY reauired for all NEW construction. <br /> 1101 NIP 1 11 1 1 "1 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,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 /> 3VER THE COUNTER PERMITTING .-(Front of Application Only) <br /> :terools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />