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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received q I RD1q .1.Phone-Contact for Permittini;- <br /> ,64,AAAAALM ........... <br /> Owner's Name WOCAV 'AADITIS Owner Phone Number <br /> Owner's Addressi-Y Law 0 c� fess S+. Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS VVe LOT# <br /> Un. <br /> SUBDIVISION PARCEL IDN 01 1DQ- QW0Q _ I <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW coNM ADDIALT' SIGN- Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED-USE Q sFR F1 Comm OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> MPLUMBING <br /> 1$ Ict Do-oo <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> H+ <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LUN J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y[N. FEE CURREN ryLNJ- <br /> Address U511 be_W&M fk <br /> Ucense#' <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y=] N, FEE qURREI1 <br /> Address Uoanse# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED l' Y1 N.. FEE CURREN. LY ANJ <br /> Address License# <br /> Hlynn Hills melons Do....n 1 1 1 11 1 H+HtftHi+ 1 11 iffil!" <br /> -RESIDENTIAL,, Attach(2),Pl6t.Plans;.(2)Sets Of of Efii6rg y forrpt�R-O-W Permit for new construction, <br /> Minimumaen.(10);working days after„submittal date. Required on PlaiwZtorffiwateeOlahs w/Slit Fence Indtalled, <br /> Sanitary Fa'q'lIItles-&,1.duMpsteq Site Work Permit for subdivislonsfiarge projects' <br /> COMMERCIAL Attach(3)60motate'seti of Building Plaini plus a Life Safety Page;(1)set of Energy Forms.R-6-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&1 dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach-(2)Sets of Efig1hearid Plans- <br /> ""PROPERTY SURVEY required for all NEW construction.. <br /> III D 1111-1 NQW- ME! Rim HIM.....III- <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. (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 /> OVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Rerooft If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if:onpublic roadways-needs ROW <br />