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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permlitin <br /> 03300rrxr= <br /> Owner's Name M61 Wes Owner Phone Number <br /> Owner's Address Wrlf) W III PIN% S� I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0256 <rwd I e— I M QXAL LOT 0 <br /> SUBDIVISION 151 Wf VCA d o PARCEL 1130 05 9 CQ - j I - M"60 OD5M 0 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F-1 ADDIALT- SIGN DEMOLISH <br /> - R INSTALL F-1 REPAIR <br /> PROPOSEMUSE SFR F-1 COMM- OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> L_JBUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING 1$ <br /> fzb W <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> ...........11111+14 ....... ........................... Ali,I i i H+H+H* <br /> BUILDER COMPANY r <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# [_ <br /> PLUMBER COMPANY Qj�2;Dn tm!Q I'M <br /> SIGNATURE ........ REGISTERED I Y I N -FEE CURREN <br /> Address -.0 # <br /> ,License Oq A 3 A <br /> MECHANICAL COMPANY <br /> SI <br /> GNATURE REGISTERED Y1 NJ - FEECURREN <br /> Address Ucense# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_ FEE CURREN <br /> Address License#-F <br /> .............. MJ.II.................num, <br /> RESIDENTIAL Attach(2)Plot.Plans',,(2)iets.of 96IIding.PIa`ns;(1)set of Energy,Fonsi;R-O-W Permit- for I new construction, <br /> Minimum,ten(19)vorldng days after subnAttal date..Required onsite,Consthicd6n-Plans;.-Storrriwater'01*ans w/Silt Fence installed, <br /> Sanitary Facilities&.1dumpster,+81te Work-Permit for subdivisions/large projects" <br /> COMMERCIAL Attach(3)complete sets of Building Oldnis 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 w/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(2)*vMs of Engineered Plans.. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 11 %fill im .0a, NP111111 11111 1-11 1, pAl <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 /> DYER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DrIvaways-Not over Counter if-on public roadways..neads ROW <br />