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813-780-0020 City of Zephyrhills Permit Application Fax 813-78D-0021 <br /> Building Department <br /> Date Received PhonwContactforVermitiltix <br /> 010a," - J-7 <br /> &44AJ,&A444444444"11 1-A ............ ......... ......... <br /> Owner's Name ummv Owner Phone Number <br /> Owner's Address HIM W NV&S Owner Phone Number <br /> Fee Simple Titleholder Name Ownsr,Phone Hum: b6r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS pottr Y t LOT 0 <br /> SUBDIVISION PARCEL ID*FQ5_aLQ_0j1- Do'gO-MEIDD-MID <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT' SIGN- Q 0 DEMOLISH <br /> INSTALL rl REPAIR <br /> PROPOSEMUSE - 0 SFR Q COM,M. OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK FRAME 'STEEL <br /> DESCRIPTION OF WORK. <br /> BUILDING SIZE SQ FOOTAGE:=, HEIGHT <br /> "BUILDING 1$ VALUATION 017-TOTAL CONS*1jCT1ON <br /> [ELECTRICAL $ AMP,SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> I <br /> PLUMBING.- $ <br /> 01 <br /> 0 ccV0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA '®YES. NO <br /> ........... <br /> HHHHH <br /> ............... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRu <br /> Address License# 7 <br /> ELECTRICIAwl -,COMPANY.. <br /> SIGNATURE REGISTERED Y/ N -1 FEE cuRREN- <br /> Address License#. <br /> PLUMBER COMPANY <br /> end <br /> SIGNATURE j: REGISTERED I YL-N., _fEECURREN Y/N - <br /> Address Llcensei <br /> MECHANICAL <br /> COMPANY <br /> SIGNATURE REQISTERED.+;. YJ N I FEE CURM: <br /> Addre": License# <br /> OTHER <br /> SIGNATURE <br /> REGISTERED 'l­Y/ W-1 FEE Cu <br /> Address Ur;dnse# <br /> H+ a 2 1 u I I m ff I I a a v <br /> ..... ...... <br /> RESIDENTIAL,,,: Attach'(2),Pidt-Plans f 1(2)ii <br /> Required 6fitit CbbstrubtI6,60IanS,.::StonnwaI6fPIahs*1 Slif Fence Installed, <br /> 6aribry Facillues4'i du;piter:.,t1te-Wo; for.sUbdivigidn6fig : Tooan ep_ <br /> COMMERCIAL Attach(3)complete s'etsoi duMf64 Olainii'OlUs a Life Safety set of Energy Forms.ROW 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 Facilities&1 dumpster.Site Work Permit for all now projects.All commercial requireme nts,must meet compliance <br /> SIGN PERMIT Attach(2)sirt§of Enginjadped.Plaris.+ <br /> 'PROPERTY SURVEY required for all NEW construction.. <br /> ...... . ............... <br /> =4 <br /> DireCtl <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500.a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> Agent(for the 6cintrabioi)or'Power of Atthmdy(for the owner)would be someone with-notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING .(Front of Application Only) - <br /> Rerools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roa5ways-needs ROW <br />