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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0D21 <br /> 4 Building Department <br /> Date Received Z t)j q <br /> Phone,.Conbict for Permitting-, t 0_1 b)-t <br /> Owners Name -.Owner Phone Number <br /> Owners Address 1-4 Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 9 <br /> SUBDIVISION tAlVelyacto PARCEL iD#FD_5 - a-LO- R DOSO - 005C)o -mbo <br /> (OBTAINED FROM PROPERTY TAX,NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN- DEMOLISH <br /> R INSTALL 8REPAIR <br /> PROPOSED USE Q 'SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 'BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ'FOOTAGE HEIGHT- <br /> 6 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION- <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> p -00 1 <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS 0ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE& NO <br /> 11 1 H+f+H4+H+H+ ........ ............................ <br /> ........................ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L—Y/ N FEE CURREN <br /> Address -Uc--ense# F <br /> ELECTRICIAN <br /> SIGNATURE -COMPANY LjLN_ <br /> REGISTERED Y/ N FEE CURREN <br /> Address F License# % <br /> PLUMBER COMPAN =en�&E)Dn �y <br /> SIGNATURE A)a (4 REGISTERED I YVN. .,FEE CURREN 1.YM, <br /> I L/bb Dq Q 13 <br /> Address T <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y N. FEE CURREN: <br /> - Address" License <br /> OTHER �60MPANY <br /> SIGNATURE REGISTERED :1* Y/ N..: FEE CURREN <br /> Address License# <br /> 4�1 ................................. ................ <br /> RESIDENTIAL, -Attach(2)PI6f,.Plans-`_'(2)Wi�61`-Iiullding-Plailns,(j)i6i for now construction, <br /> Minimum;terr(-10)wofldngdays after s6bmlftl7dat6.-,.-Retqbtred o6i1t4._.'C6ni 666ii'°'O-iins:.�stor-m,wa-tdr--Pleifis w/Silt Fence installed, <br /> SahlWry_F .dur�p.pter.,-$itq,Wp!k,-Parmit for subdivislons#arge pMedts�4- <br /> 4611664',i:I• <br /> i" Permit <br /> COMMERCIAL Attach(3)complete sets Of Building Plans Plus a Life Safety Page;(1)set of Energy_-Forms.R-OW 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 now projects.All commercial requirements,must meet compliance <br /> SIGN PERMIT Attach(2)sets of EftgI6"ricf..PIirs;. <br /> TY '-.- <br /> ­*PROPER SURVEY required for all NEW construction. <br /> 444444= . _'. required I . -- ` - 1 ­ <br /> ................. <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. (NC upgrades over$7500) <br /> co ira" r),or-Power of Atlomdy(fik the owner)would be Agent(for the n cto 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_onpublic roadways..-needs ROW <br />