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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department GG <br /> Date Received LE Phon&Con�tact for,Permittin mr <br /> m - -) <br /> Owner's N I' <br /> blame LA Owner Phone Number <br /> Owner's AddressOM W CQ�= a, Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 1 W - <br /> JOB ADDRESS .9-19-11 LOT i$ <br /> SUBDIVISION 14AWden Piiyev -1 PARCEL ID#1 aq RW-J9 I- DIM OCCCO- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW-CONSTR ADDIALT' SIGN DEMOLISH <br /> , R INSTALL REPAIR <br /> PROPOSED.-USE 0 SFR F__1 COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> ........... <br /> ®BUILDING 1$ VALUATION OF TOTAL CONSt.kOCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING 1$6 rv,\ <br /> UIJ <br /> [MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS L FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L_LLNLJ FEE CURREN L1LNLJ <br /> Address F License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE KREGISTERED Y/ N FEE CURREN <br /> Address License#.F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N, FEE CURREN L LN <br /> _y _J <br /> Address License#' U t-36- - c)3 3 a I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREh, <br /> Address Ucense# F77 <br /> OTHER ...COMPANY <br /> SIGNATURE REGISTERED Y N.- FEE CURREN <br /> Address License# F <br /> .-rrrm. --------- .......................... ................. ......1 nt I in 01. ..............iiij* <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets.of-6611d9 hg,Mai hs,(1)idi of Energy Forrns;R-O-W Permit for new construction.- <br /> -Minimum-tenllq)working flays after submittal date. Required onsiteXbristiructiow-Pians.,Stormwater Plans 4 Siff Fence Installed, <br /> Sanitary F,icillUes.;&.I.dumpstel-,,.Siter Work:Permit for subdlvislansfiarge.'projects <br /> COMMERCIAL Attach(3)complete sets 60 Bulkilrig Pidn's' pliiia Life Safety Pa.ge;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requited onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)`s6ts of Ehg1heere,cl Plans. <br /> "PROPERTY SURVEY rqqqlpa4 for all NEW construction. <br /> - -------I--------- Ill. oil I Im <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2300,a Notice of Commencement Is required. (AIC upgrades over$7300) <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 /> Retools;If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if,onpublic roadways..n6eds ROW <br />