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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Redelved l Phone Contact for Permlttlnq�_ 01 <br /> Owner's Name tyltv +]Dmes Owner Phone Number <br /> Owner's Address Rlit OD U) UV P95 Owner Phone Number <br /> Fee Simple Titleholder Name, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS lo-1583 CW(- Dv , LOT 0 <br /> SUBDIVISION 1+11610er) V)lVer-1 PARCEL 100 09- all-Rl -010D-00000-000 <br /> (OBTAINED FROM PROPSRTYTAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT' SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE Q SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL _J <br /> DESCRIPTION OF WORK 1ff1aCA+iQn "In <br /> BUILDING SIZE SO FOOTAGE=. HEIGHT <br /> .4"144-1444444" <br /> =BUILDING $ VALUATION.'OF TOTAL CONSTRUCTION. I <br /> =ELECTRICAL ]$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> �6 PLUMBING too. <br /> (D <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> s 2 11 a <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRFN <br /> Address License# <br /> PLUMBER COMPANY 06W lynaAw <br /> SIGNATURE REGISTERED Y/ W FEE CURREN -44 N <br /> a 2—25 0 <br /> Address License# 1 Lop qo?3a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEEqURREN: <br /> Address T_ License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> .............. ...............fHHH! - <br /> RESIDENTIAL: -Attach(2)P16t..Plans;,(2)sets of Biillding'.Plains,(I)s-et o-f Energy:Forms;R-O-W Permit for now Construction,. <br /> Required ld onsitk Cons Plahs w/Slit-Fence Installed, <br /> Minimum ten(1q)Workingdays after submittal date.: tructl6n:Olans,'Stormwater <br /> Sanitary Facilities A IduMpsteq,Site-Work Permit for subdivislonsfiarge 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 now 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 new projects.All commercial requlrements.must meet compliance <br /> SIGN PERMIT Attach-(2)sets of Engineered 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. (A/C 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 /> DVER 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 if onpublic roedways..neeft ROW <br />