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813-780-0020 City of Zephyrhills Permit Application Fax 81 3-780-0021 <br /> Building Department <br /> Date Recelv' ed Phone Contact for Permitting 1( bo <br /> ......... rrrrrTm............. <br /> FIX,= <br /> 0 wnoes Name UUMA- Owner Phone Number <br /> Owner's Add... Owner.Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpld!Titleholder Address <br /> LOT 0 <br /> JOB ADDRESS t) LOT#q <br /> SUBDIVISION -377 72 3-7 7 PARCEL ID#1 IS-36-;A 6 f ID- 0 1 cab -do 6b <br /> 3 7'60 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH P0 <br /> e- INSTALL R REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK tQjOLX 0 LL�� O-An )-tkDktQ Y\-QLL) <br /> S <br /> -BUILDING,SIZEC Q FOOTAGE HEIGHT <br /> =BUILDING 11 q0b 1 VALUATION OF TOTAL CONSTRUCTION <br /> -=ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI(ON- <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FLOOD ZONE AREA =YES NO <br /> FiNISHEDFLOOR ELEVATIONS <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREK LILN J <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE� REGISTERED YVN FEE CURREN <br /> Address, Llcense# F_ <br /> P BEF LUM tIr -COMPANY FEE�CLIRREK <br /> SIGNATURE REGISTERED., [`Y1 N' <br /> x <br /> Address License# <br /> MECHANICAL COMPANY:— <br /> YJ IN FEE-CURREN FY/N7 <br /> SIGNATURE REGISTERED <br /> Address License <br /> OTHER; <br /> -COMPANY <br /> SIGNATURE., F1 <br /> .REGISTERED <br /> Y/_N .,FEECURREh Ly L N <br /> Address License# F E ET i <br /> If...... <br /> Attach,(2)',P6.t Flpns;':(2)sets'.of Building Plans,.(11).set of Enemy Forms;R-O=I -Permit"fiir.hew.constructlom, <br /> Minim Urn ten"�(10)working diys' aiftir'siUbmittal'clate. Required onsite,Constructib'n'Plans;'S'torinwater Plans w/.Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsfiarge 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 ne <br /> w construction. <br /> Minimum"ten(10)Wqrklng days after-submittal date. Required onsite,Construction Plans,,Storm Plans w/Slit Fence Installed, <br /> Sanitary.Facilities&I dumpster.Site Work-Permit for ail new"projects.All commercial requirements must meet compliance <br /> .SION PERMIT Attach(2):sits ofEngineered!Maim. <br /> ****PROPERTYS <br /> � U RVEY required for all NEW construction. <br /> ; <br /> Directt <br /> ........... <br /> one: <br /> Fill*out application completely. <br /> Owner&Contractor si§n,,back of.application,notarized <br /> if $2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent,(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> `OVkK-THE-,COUNTEk PIERMlTT-ING­,? ­--' <br /> Jdbpy.§ CdntractrequIred) <br /> F6 f R44ofaif shingles Sewers Servico,U06"rades� 4hicei'(P ottSurvey/Footage) <br /> C,roa n-ee' s R'Driv'eways-Not over Counter if on publi "d-va d O W_ <br />