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813-78D-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bull-ding Department <br /> Dateft'15blvad Phone contact for PermCttting- DI <br /> A ­Aj ra= ZXQU;Q= La= <br /> 1A <br /> Owner's Name A0 Oar, +i omie'5 Owner Phone Number <br /> Owner's Address WOUD C. '(1ZA- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder,Address F_ <br /> I e2lI C-n <br /> JOB ADDRESS LOTS <br /> SUBDIVISION H___ on Wity, PARCEL IDOH-aw-ai- pico-oocw- ono <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRE] ADD/ALT' SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED.-USE Q S1 R 0 COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK. FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE Sty FOOTAGE HEIGHT <br /> =BUILDING $ VALUATIOWOF TOTAL CONSTRUCTION <br /> (ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> IV Is 15)p. W I- <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING E:] SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES. NO <br /> ............... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L YN�j <br /> Address T . License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y_/ NT FEE CURREN ' L-_Y J_ <br /> Add.. Llcense# <br /> PLUMBER <br /> COMPANY <br /> SIGNATURE REGISTERED FEE CURREN - 111Y]N <br /> Address Cense L41�1, <br /> U # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED J .Y/ N j FFECURRFhi <br /> Address License# F <br /> OTHER ,CIDMPA w <br /> SIGNATURE REGISTERED -FEECURREK <br /> Address License#_1 <br /> RESIDENTIAL,,- -Attach(2).Pldf-Plans;(2)sits of BU!Idihg:PIanS-,'(I)set of Energy'Forts;R-0W Permit ifor new construction, <br /> Plans;Storniwater'01'a'nsw/Silt-Fenceinttalled, <br /> A ti Cbristr6ctlim: <br /> -Minimum tew(10),woIrking' aysafter.ttibihittaldatb.'ReqijlytdohiI an <br /> Sanitary Ficllidiis.&,1_d6rnpste;;,--,Sjte Work%Permit for subdivislont8arge projects <br /> COMMERCIAL Attach(3)o.omplete sets.of Bulldin4 Plans plus'a Life Safety Page.-,(i)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&I dumpster.Site Work Permit for all now projects.-All commercial requirements must meet compliance <br /> SIGN PERMIT Attach'(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> q I I� 114 1 1 N;l IT <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 /> Agent(for the contractor)'or Power 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 /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Ifon public roa4ways-ne ads ROW <br />