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813-780-0020 City of Zephyrhills Permit Application Fax B13-780-0021 <br /> Building Department <br /> Date Received Phone Contact for PerMl=tOng- 51'6 <br /> M D <br /> Owner's Name Lenyvy' Owner Phone Number <br /> Owners Address HLODD CQVfe� 'M- Owner Phone Number <br /> Fee Simple Titleholder Home Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Mose .LOT# <br /> SUBDIVISION PARCEL ID91-aH_R OWO— C)Da QV 0 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONISTR ADDIALT 0 SIGN DEMOLISH <br /> - R INSTALL REPAIR <br /> PROPOSED;USE Q SFR F-1 COMM OTHER I <br /> TYPE OF camsTRUc-nom BLOCK FRAME STEEL <br /> 0 Dr) <br /> DESCRIPTION OF WORK YYI 1 <br /> BUILDING SIZE SO FOOTAGE HEIGHT C � <br /> "BUILDING VALUATION OF TOTAL CONSfikUCTION <br /> ]ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> V1 <br /> PLUMBING D <br /> , 11to <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEECURRFh <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEECURREK <br /> )d J Address 1t MeM 12 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> S COMPANY <br /> IGNATUR <br /> OTHER <br /> E REGISTERED F Y/ N_ I FEE CURREN <br /> Address License 0 <br /> ................... <br /> RESIDENTIAL, Attach(2)Plot Plans;(2)Sets of Buildinig-Plans;(1)set of Eniergy"'Forim' s;R-Q-W Permit for now construction. <br /> Minimum.ten(19)working:days after submittal date—Required onsits.-C6nstixic6n-Plans-�Stormw ater Plans w/Slit Fence installed, <br /> Sanitary Facilities&_1,dumpste;-,Site Work,Permit for subdivislofisnarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plains plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> ction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 durnpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered_ <br /> Reared Plans. <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 /> 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/0 Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if-pn public roadways-needs ROW <br />