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813-780-OD20 City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Rec*-ed Phone Contact for Pemftrtg I Ze <br /> . . . . . . . . . . 4 - 6013 , <br /> J07:5,6 ly ff —2�� <br /> Owner's M— Owner Phone Number <br /> o....Add 3 Owner Phone Number <br /> Fee Simple rMebotder Name • <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> V 7 • <br /> ;7 <br /> JOB ADDRESS 9 F LOT# <br /> SUBDPASION PARCELIO#1 JQ X iP/ &40 PA4040 d <br /> (ORTUNED FRO.PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW MNM ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR CONN OTHER I <br /> TYPE OF coNsTRucrnom M BLOCK FRAME STEEL <br /> M�Od' <br /> DESCRIP11)4N OF WORK I Re$- )9Zd C-44toa 0/7 e--e, .9A 70—Al, .7 777 44A <br /> BUILDING SIZE ISQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> "BUILDING IS VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING is <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> CvkS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LY 1 N <br /> Address i License 9 <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN I FEECUMEN L_XLN J <br /> Address License#F— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREK I Y/N. <br /> Address I License#I <br /> MECHANICAL COMPANY b41kvh`6P1Me-956 <br /> SIGNATURE REGISTERED I YIN FEE CURREI, I Y/N <br /> Address 9441 R717e,--v W Z-A4716-sq License 10,40"o I/S=9=4 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRD L-XL—Ni <br /> Address License J-7 7-1 <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans.(1)Set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woddng days after subrniw data. Required onsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work PmTnd for subdivislonsfiarge projects <br /> COMMERCIAL Attach(2)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)woMng days after submittal date. Required onsite,Construction Plans,Stommeater Plans w]Sift Fence installed. <br /> Sanitary Facilities&I d-pster Site Work Permit for all now projects Ail Commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . assonam . . . . . . . . . . . . . . . . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Cominencemenit is required. (AfC upgrades over <br /> Agent(for the contractor)or Power of Attorney(for the owner)vA)wd be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs;if shingles Sdvem Service upgredas,AfC ' Fences(ploySumeyFootage) <br /> Driveways-Not over Counter if on public roadways-reads ROW <br />