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813-780-0020 City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Da!i Recelvad Phone Contact for Permitting. <br /> A A A 1-A A A AJA4%%1AAA&MAJ <br /> Owner's Name V Wp-r-s Owner Phone Number <br /> Owners Address H U) C�j QVC55 '6 I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS mudden _AAMIDA) - Dr - LOT 0 <br /> SUBDIVISION PARCEL 104101H LQ-a,- ON 0 OOODD r oqjo <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT 0. SIGN- DEMOLISH <br /> _R INSTALL F__j REPAIR <br /> PROPOSEMUSE SFR F1 comm. OTHER <br /> TYPE OF CONSTRUCTION 0 'BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Q+�Dn OtACL I I <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> W44444444" 1 I'LLI 10110 18,1144444 1 11 1 1 A 1114 1-,&14444444444- <br /> "BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> op <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING .M SPECIALTY F ' -1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> will lI;HAIIIIIHioH ......... <br /> BUILDER COMPANY E� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_LLNLJ <br /> Address License# <br /> ELECTRICIAN: COMPANY <br /> SIGNATURE REGISTERED Y/ N_j FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y L N. FEE CURREN Y-M <br /> An- t"CM <br /> Address -License# as <br /> MECHANICAL COMPANY <br /> SI <br /> GNATURE REGISTERED ]..Y/ N I - FEEcuRRw <br /> Address License#. <br /> OTHER -COMPANY <br /> SIGNATURE REGISTERED _1 FEE CURREN LxLN_j <br /> Address License#- <br /> ........................ ................................................ <br /> HI+H+H+H-H+ <br /> RESIDENTIAL„, -Attach(2),Pldt,.Plafisi-(2)sets bfii6lfdin-'g'�Plahs-,(I)set of-E-nisr'g*'y'Fo-r-'mi';';.-R=O-WPerrh'lt for new-coiistruction.- <br /> Minimum Rbq' Irbd6k1l6. <br /> U Conabruction-,Olans;-Stary6wat6r'Plans W SI t Fence installed, <br /> Sanitary Facilitles 1,durnpster,:$Ite Work-Permit for subdivisigritifiarge'projecti; <br /> COMMERCIAL Attach(3�o6moa t,�s IS of suitdin4 Plains plus a Life Safety Page;(1)set of EnargyForms.R-d-W 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)'set6 of Ehgjne6ri0PIims., <br /> 'PROPERTY SURVEY required for ail NEW construction. <br /> --------------- <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2E00,a Notice of Commencement Is required. (AJC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for theowner)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 /> Driveways-Not over Counter if-,an public roadways-heeds ROW <br />