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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received R IA012 <br /> Phone Contadt,for PermItitihg- <br /> rT71rr11nrrT1nrXT= <br /> Owners Name Lennciv" tium6 Owner Phone Number <br /> Owner's Address Owner Phone'Number" <br /> Fee Simple Titleholder Narne' Owner Phone Number <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS CMS LOT# <br /> SUBDIVISION C eV PARCEL ID# 1 0 00 00_ W(09TANED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSE-D' e <br /> NEwcoNsTRM- ADDIALT- SIGN- DEMOLISH <br /> -INSTALL REPAIR <br /> PROPOSED-USE r'"I --SFR r__j COMM OTHER I <br /> TYPE OF CONSTRUCTION 0 :BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK_ Vil 1 on I Y)�6112 <br /> BUILDING SIZE So FOOTAGk. HEIGHT <br /> =BUILDING 1$ VALUATION 00 TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL ]$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LXLNLj FEE CURREN <br /> Address '­Llc'ense# F <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED Y1 N_j FEE cuRREP-- N <br /> Address License#. <br /> PLUMBER COMPANY <br /> E <br /> SIGNATURE REGISTERED Y,/_N-, ..,FEEcuRREN. T Y./N 1: <br /> Address 4"I-&eM M� [U00- 0,RA-3� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED . YJ N FEE cuRRB: -L)L/Np <br /> AddressLicense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_-__ FEE CURREIN <br /> Address Ur6riseg: <br /> -RESIDENTIAL-,,, Attach� (2)SiWof.66064'Plans;(11)tat of-Energy-Forms;R=R#fbiinit fbr'n'ew construction..- m _ <br /> M1Nmumaen'(10)working days:afte�siibmitlat date`Required s-lt6,!Cbndbu6t1dh1*I*laiis-,-Stoiin-wa�t6r'Plahs W/SlIfFence Installed, <br /> Sanitary FactiHes.&:1;,dympster:Site Work_Permit for sUbdMb! <br /> COMMERCIAL Attach Building Plans <br /> _j3jcom� saiii'of BtAlai—Plairis'lilus a Life'Safety Page;(1)sit of Energy Forms.R-O-W Permit for new construction. <br /> ' <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 now projects.All commercial requirements,must meet compliance <br /> -SIGN,PERMIT ns.-.. ,. <br /> ****PROPERTY SURVEY NEW_construction.. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If aver$2500,a Notice of Commencement Is requtred. (AIC upgrades over$7500) <br /> Agent(for the contractor)of 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 /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> S <br /> DrIvewa"ot over Counter Ifon public roalways-rieeds ROW <br />