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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permliting.- 01 <br /> Owner's Name Owner Phone Number <br /> Owners AddressH(PLA-) Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS INCIU , mmycien +A0110LO Dc, LOT 0 <br /> -1 <br /> SUBDIVISION PARCEL IDO _Q 100 CCCM— CU 0 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED e <br /> NEW CONSTRR- ADDIALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED--USE 0 SFR Q COMM OTHER <br /> U :BLOCK E] FRAME STEEL <br /> TYPE OF CONSTRUCTION F <br /> DESCRIPTION OF WORK V�C( <br /> BUILDING SIZE SQ FOOTAGE=_ HEIGHT' <br /> ................ ..................... 144-5-9444-� <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING 1$ ODD lub i. <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ............ ........................ +H+H+H+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address lJcense# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN - 'L_yj NJ <br /> Address License# F_ <br /> PLUMBER COMPANY km cjcf�Ibn <br /> SIGNATURE 0)v M_ REGISTERED I Y/ W - FEE CURREN 1-YIN <br /> Address <br /> Licensei <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 .YJ N FEE CURREN <br /> Address License#.F7 <br /> OTHER COMPAJ <br /> SIGNATURE REGISTERED Y/ N 7T FEE CURREN Y N <br /> Address I Licensed <br /> ....................................................... <br /> rrvrr- <br /> RESIDENTIAL' Attach(2),_PIot Plans,-(2)Sets of BuildinggPlainiti(1)s6i Of EIfty*Forms;A4)­W+Permit for.now construction, <br /> ..Minimum.ten(-19),:wqTkir!g:daysaftersubMittaidat6.:R6qulredonslte Coristructlom Plans;.Storaiwatee Plans w/Slit Fence Installed, <br /> Sanitary F 0 <br /> .401litles.&A.durripster,Site Work Permit for subdivisl,nsBarge projects, <br /> COMMERCIAL Attach(3)complete sets of Building Plairii 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/Slit 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)sids of Efiglipeired 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$2508,at Notice of Commencement is required. (A/C upgrades over$7500) <br /> vo Agent(for the contractor)'or Power of Attorridy(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public madways..needs ROW <br />