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813-78D-0020 City of Zephyrhills Permit Application Fax-813-780-OD21 <br /> Building Department <br /> Date Received ja Phonecontact forVermit"ho- <br /> I..................... ... ...... <br /> Owner's Name Owner Phone Number <br /> Owner's AddresslH(DOD U) -C-QQ= Owner Phone Number <br /> Fee Simple Titleholder Name. Owns r Phone Number r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS bq Cq Ad I e valm ON LOT 0 <br /> SUBDIVISION .01 PARCELIDNIC&R-Lo-al - 00,C-0Q oacig <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT' SIGN DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED-;USE . -SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION FRAME STEEL <br /> DESCRIPTION OF WORK i\(iAcA (on GK Q i n�Ao u <br /> BUILDING S179 iQ.FOOTAGE=1. HEIGHT <br /> 1444" 44- <br /> BUILDING $ VALUATION OO TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING__ <br /> I bOD,001 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 7_ <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES- NO <br /> aj 11w a wl 1 i 1 2 1 a a a <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURM �N <br /> Address -tjc6nse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F_ <br /> PLUMBER <br /> C 0.M P M;i W <br /> SIGNATURE REGISTERED Y/.N.. FEECURREN - 1-Y4N <br /> Mrn 7150 1 Na�3a <br /> Address I L4 50. 1 License <br /> MECHANICAL COMP <br /> ANY <br /> REQIST03ED FEECURRFh� LILNJ <br /> SIGNATURE �N <br /> Address License#'. <br /> OTHER <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE <br /> License nse*# <br /> Address <br /> 11 11 H 1 1 1 1 1 A 11 a 1 6 1�Hi m! I!H a 11 a a a R a <br /> 13�eft' lt rhew,coiIstruRtipn,_., <br /> RESIDENTIAL- -Attach'(2).Pj6t.P.Iiiii�;+,(2)i6 4-E Fo6i',",' fb <br /> aftet -dati,' <br /> -M!nimum!teiT,(10)iwckddno,,'Oags, Wbffilttil [red onsitO, na ct1oh---PIahs-,' tormweldr'Plaihs w/Silt Fence Installed, <br /> Sanitary Fac I;,SItqWOIk,�Permit:for subill <br /> I I I tiles. ,pl Iq ,I,rig _�ius`ai Life Safety Page,(1)set of Energy Forms.R­O-W Permit for new construction.. <br /> COMMERCIAL Attach(3)complete sets'bf Build Plans <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects:All commercial requirements.must meet compliance <br /> SIGN PERMIT Attactf(2)'sift of E69he6r6dPAans,,. <br /> ""PROPERTY SURVEY required-for all NEW construction.. <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 /> ft Agent(for the contractor)of fewer 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 /> Rerools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter iff-pri public roadways-n6eds ROW <br />