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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Parmittin <br /> ILEXUX .......nocccr= ............ ---- <br /> Owner's Name -HOCS Owner Phone Number <br /> Owner's Address iqLODD LO NPYt55 51- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS FLq'4_1 nACY) klDl IDLO QV LOT if <br /> SUBDIVISION Ridden NV PARCEL IDO 01 DD DDOW <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> .WORK PROPOSED e NEW CONSTRR. ADD/ALT_REPAIR SIGN DEMOLISH <br /> INSTALL <br /> PROPOSEMMSE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL <br /> DESCRIPTION OF WORK I en-oatjon <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> rluop -oo 1 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .... .................. HIH HHH! All........ ............. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address LicenseJ_ <br /> ELECTRICIAN COMPANY [LYL NJ- FEE CURREN <br /> SIGNATURE REGISTERED <br /> Address License# <br /> PLUMBER COM <br /> 1 +[cndevz0K <br /> SIGNATURE REGISTERED I Y/ N. - FEE CURREN Y/N <br /> Address 1jhepevy) License#1 L-35- Oq 5-5-5 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYI_N <br /> _j <br /> Address License#_1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y N_ FEE CURREN <br /> Address F_ License# <br /> ............................................... H c4i I H III i A gig I I;I <br /> RESIDENTIAL Attach(2)Plot,Plans:(2)sets of Biillding.Plains;(I)set of-Energy�Foffns:R-O-W Permit for new construction. <br /> Minimum.ten-(I 0).Worklng4ays after submittal dat6..Required drsite,toinsthicti6n Plans-,'StormwaterPlans w/Slit Fence Installed, <br /> Sanitary Fa�llfies&,1duMpster,,,$ite Work;Permit for subdivisionsfiarge:pjojects <br /> COMMERCIAL Attach(3)co,mplete sets of Building Plans plus a Life Safety Pa-ge;.(1)set of Energy Forms.R-OW Permit for now construction. <br /> Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Plans wl Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements-must meet compliance <br /> SIGN PERMIT Atlactf(2)Sets of Eriginieer.id'Plan's. <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/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public madways.._n6eds ROW <br />