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813-780-0020 City of Zephyrhills Permit Application Fax 81 3-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 58L Lo 50 10 k <br /> ...... ...... ...... rr+rmwi <br /> Owner's Name Owner Phone Number kb <br /> Owner Phone Number <br /> Owner's Address <br /> Fee Simple1itleholde.04 I%fe I I Owner Phone Number Fee SimpId7itleholder Address <br /> }} <br /> JOB ADDRESS NoSS_01� 2-e irr LOT 0 <br /> SUBDIVISION PARCEL ID#rl (0—al 0 119 01660 —00 e0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR APD/ALT SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER I <br /> CONSTRUCTION TYPE OF . BLOCK FRAME STEEL F <br /> DESCRIPTION OF WORK t1t1G0fr ca'e-0 <br /> Q) <br /> BUILDINGiSIZE SCI FOOTAGE= HEIGHT <br /> BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHEDFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_yl N_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN <br /> Addr I ess, License# F_7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED -Y/ N`- FEE CURREN <br /> Address License# F <br /> MECHANICAL COMPANY: <br /> SIGNATURE REGISTERED YJ W' FEE CURREN Lyl_N_J <br /> Address License#. F <br /> OTHER,:. <br /> COMPANY vlc� <br /> -SIGNATURE, REGISTERED Y/ N .,FEE CURREN <br /> Address, License# 1,'(-'C C. 13-3 613d 3 <br /> RESIDENTLAL ...............Afta,66,.(2),Plof P*IanS;*(2)s6ts-.of Building Plans,'.(l)-sat,of'Energy Forms;R-O.7W..Pertnttfoin'ew.construrflon,.. <br /> `(1'6�ik8rkihj days after idbm R Construction - - i <br /> Minimum 11:61%1&;; eq6tredlonsite,Constru on Plans�Stormwatee Plahswt Slit Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisloinsfiarge 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)working.days after.submittal date.:Required onsite,Construction Plans,,$tormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities 9 i au,mpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> pliance <br /> SIGN PERMIT -Attach(2).s7eti-of..Engineer6d Plans. <br /> . <br /> ****PROPERTY..SURVEY required for all NEW construction. <br /> �biii o"n's": <br /> Fill'out application completely. <br /> Owner&C6ritractorsigm.back of.application,,notarized <br /> If over$2500,a Notice of.Commencement Is required. (AfC upgrades over$7500) <br /> Agdnt,#df1he contractor)or.Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> I0VER1HE.CQUNTER PERMITTING- (copy of con'tract required) <br /> Ae-rdofs If shingles -Sewers Serft6rUogrades A/C Fencds(Plot(Stirveyffiootage) <br /> DrNeways-Not over Counter if on public roadways..needs ROW <br />