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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Ph =one Contact forpesm� Ilf S <br /> 51 LI/di R OM <br /> Owner's Name e5 Owner Phone Number <br /> Owner's Addressl4ww 0 N26S ST_ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Ln LOT a <br /> SUBDIVISION PARCEL ID610+ak#- <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN- Q Q DEMOLISH <br /> e INSTALL R REPAIR <br /> PROPOSED-USE Q SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE=. HEIGHT <br /> .............. ................... <br /> =BUILDING $ VALUATION.OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L—Y N FEE CURREK L <br /> _1L N_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREK <br /> Address I - License# I <br /> COMPANY I -Hf-nd a Eon On <br /> PLUMBER ffilu <br /> SIGNATURE REGISTERED I Y/--N. FEE CURREh . I' Y/N <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I .YIN D_, FEE CURREII <br /> Address License#.F7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN,11 FEE CURREK _ Y/N <br /> Address License#- <br /> -RESIDENTIAL,, Attach(2),ftf.Plans'.(2)sets of SuIldino".Plaft;(1)i44-Eniergy'ForIns;R-O-W Permit far now construction, <br /> Minimum.ten(-Iq)wqrking'days.after,t6bnilftai'dat6.;Required onslti,:Cons6cuon-Plans,�Stormwater'Plans wl Slit Fence Installed, <br /> Sanitary Fqqlli.Ues&.1.dumpster,Site Wo&Permit for subdivisloosfiarge prajects. <br /> COMMERCIAL Attach(3)complete sets of Buildiirig Plains plus a Life Safety Pi-go,(1)set of Energy Forms.R-OW Permit for new 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 now 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 /> gill 1111"I P5; <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over MOD,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someonewith notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING . -(Front of Application Only) <br /> Rerools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />