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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received a ac)0 J. Phone Contact for Pennittini <br /> Owner,$Name Lannov, _"VM6 Owner Phone Number <br /> Owner's Address ILI WCQ Owner Phone Number <br /> Foe Simple Titleholder Name Own-or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 0 <br /> SUBDIVISION eyl 0 eV PARCEL DIDD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT' SIGN- Q 0 DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSEDIUSE 0 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 1 �ga__ Di"y ti <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> W44444444444-� W 5444444-M-14 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> TPLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> ®GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> ............ ........... <br /> ............. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_ILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> PLUMBER comPANY 144CYOUSCY) �M'Q(Af <br /> SIGNATURE (Raw REGISTERED Y/ N FEECURREN Y/N I <br /> Address License# <br /> V61ECHMICAL COMPANY <br /> SIGNATURE REGISTERED Y —N-7 FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I' Y/ N FEE CURREN LILN_j <br /> Address License#-1 <br /> ........ .................. ............................ L&H.,a 6 1 off........................ <br /> RESIDENTIAL- Attach(2),ftt Plans;(2)sets of Building-Planis,(1)set of-Energy Forms R-O-W Permit for new construction., <br /> Minim um-ton(10)working days after,Submittal dal:6.'Required onsite,Construction Stormwater0lans w/Slit Fence Installed, <br /> sanitary Facilities&I.dumpste;-,Site.Work Permit for subdivisloPsnarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plains plus a Life Safety Page;(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 Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new 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 /> 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 roadways-n6eds ROW <br />