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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> 511513D1% J.PhoneZon"tact for Pers»ittin . ...... <br /> M .. .....1,...I I.......... <br /> Owner's Name Mnav N-iwes Owner Phone Number <br /> Owner's Address I q(ow LO C Owner Phone Number <br /> Fee Simple Titleholder Name Own.or Phone kurfibir <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Wa)deff) '�-QMQUD DV - LOT 0 <br /> SUBDIVISION —ey) hQ-El, ' PARCEL HIS I 01W 01 roy 00C)OO — ow <br /> (OBTAIWED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN- Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED--USE 0 SFR p Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> % <br /> DESCRIPTION OF WORK Y"0 0 0 \n <br /> BUILDING SIZE SQ FOOTAGE=. HEIGHT <br /> U4444444444444- <br /> =BUILDING $ vALuA-now(jF TOTAL CONSTRt1CTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY r--j W.R.E.C. <br /> PLUMBING <br /> MD. 00 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS C � FLOOD ZONE AREA [ YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address <br /> License <br /> # <br /> ELECTRICIAN, COMPANY I" - <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address Ucense# F <br /> PLUMBER COMPANY lflmrlemwn vyi0a+i I Dn <br /> SIGNATURE REGISTERED Y/.N. FEE CURREN <br /> Address P.-,henry) �)J I. Ucensoi I nqa,3� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N 'I - FEE CURRFh. <br /> Address <br /> OTHER COtiiiPANY <br /> SIGNATURE REGISTERED Y/ N.- I FEE CURREN <br /> Address L1cense#,F <br /> I I LOA-11-11 I tf`n a ffi Havulofiffingel.................................................laffildH Aft...................Hill! <br /> RESIDENTIAL, Attach'(2),PIdtPIafis (2)sets of Building'Plifis,'-(I)set oi'iti "Fo R=4W Permit for now construction, <br /> Plans;-stonnwater'Pia-nsw/SlifFencein.4talled, <br /> Minimum,tenl.(-19),wqrkir;gf,,,*Oays.aftersiibfiiftI date., e4ulredonsitia.'Cobstructiont <br /> Sanftary Fac 1-.duMppteq:$ItqW9rIi,:Permlt for subdivisloins#arge projects <br /> - <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-6-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 Fadlities&1 dumpster.Site Work Permit for all now projects:All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)'obts of E60heare,&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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomdy(for the owner)would be someone with notarized letter from owner authorizing same <br /> 6VER 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.,on public roadways-needs ROW <br />