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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Regelved <br /> rm I Phone,Contact for Permitting. <br /> Owner's Mama LACY)Y10, 44f Wi f*,S Owner Phone Number <br /> Owner's Address r <br /> 1H Owner Phone Number 00 es,"-s 5A- <br /> Fee Simple Titleholder!darn® Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT; <br /> SUBDIVISION PARCEL 100 01 <br /> (OBTAINED FROM PROPISRTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT- SIGN 0 = DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSEMUSE SFR COMM, OTHER I <br /> TYPE OF COMSTRbCTIOM 'BLOCK FRAME STEEL <br /> Aff 0 1 1 DESCRIPTION OF WORK 0+1 <br /> BUILDING SIZE Sty FOOTAGE= HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> I <br /> PLUMBING* I$ Igpo-oo 1. <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILNJ <br /> Address Llcanse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address i License# F— <br /> PLUMBER COMPANY �Aa)dey n 1mi on <br /> SIGNATURE REGISTERED Y 1.N• FEE CURREN I Y 1W <br /> Address COY 1 License# 03 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREII <br /> Address License# F <br /> OTHER ,COMPAMY SIGNATURE REGISTERED FEE CURREN <br /> Address License-#.F <br /> Hill 1 2 111111111!1!1!!111!1!HI it P I H+"+"+ 1'4 H+Hj+ <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building.Plahs;(1)set Of,Eiiirgy-Fo6§;R-O-W Permit for now construction, <br /> Minimum ten.(10)wpIrkingdays afterStIbrhittal date.:Required ofis'ltei,ConstrU606m0lins;Stormwater'Plans and Slit Fence Installed, <br /> Sanitary Facilities&.1dumpster,-,Pltq Work-Permit for subdivislo.nsfiarge,projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2ysets of Engineered Plans. - <br /> `**'PROPERTY SURVEY required for all NEW construction. <br /> 111111,11131RIN <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300,a Notice of Commencement is required. (AIC 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 /> 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 on public roadways..needs ROW <br />