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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received J dolq Phone Contact�for Permitting. '36-7S' <br /> Ownses Name Owner Phone Number <br /> Owner's Address RitOD U) C\-laCS5 S�. Owner Phone Number <br /> Fee Simple Titleholder Name Own-or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 0 <br /> W SUBDIVISION PARCEL RXII-05-aW-a QD�C) _ �D) - <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN- Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION Q Y" A-1 BLOCK E:] FRAME STEEL <br /> GO On <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> .................. <br /> =BUILDING 1$ VALUATION.OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> r_V_1PLUMBING I$ 1- <br /> L <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .................... .......... <br /> BUILDER COMPANY- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURRr=h <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED I Y/ N. I- FEECURREN - VYIN <br /> Address Ly 511 ely)em lk), i Uc;ense_# C)cf a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L-_Y_1N_J FFEqURREh <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N+... FEE CURREN <br /> Address License#- <br /> RESIDENTIAL Attach(2)Plot.Plans;r(2)Sets of Su'llding-Plans;(1)lls6i of.Eniergyftrmis;R-O-W,Permit for now construction,. <br /> Minimum ten'(10).vorldng*daysaftersdbMIttal'dat6.',Required oniltci,Cohst'*t-u6ff'on;P'lans-.,StormwateePtans w/Sllt*Fence Installed, <br /> Sanitary Facilities&,1.4umpster,,-Site Work,-Pennit for subdivislonsfiarge projects <br /> COMMERCIAL Attach(3)complete,sets of Building. Plans plus-a Life Safety Page;(1)set of Ene,rgy 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)sets of Engineered-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$2500,a Notice of Commencement Is required. (AtC 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 /> DVER 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 roadways..needs ROW <br />