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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received Di <br /> Phone Contact for L <br /> &&L4A,-14JA.LLA ULAI L 61A" ......I I <br /> Owner's Name LCY)MAV +10M6 Owner Phone Number <br /> Owners Addressl H a&2b <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number L <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 0 <br /> SUBDIVISION JR&W PARCEL IDMIa- 5- Qu- �H - <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED 'R NEW CONSTRR- ADDIALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE = SFR COMM OTHER <br /> TYPE OF comsTRbc-nom 0 BLOCK FRAME -STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F- ISQ FOOTAGE HEIGHT <br /> ........... <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> I PLUMBING <br /> - 1, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> AHIH�.......... ......................... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN <br /> Address License# F- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L_YLN J FEE CURREh <br /> Address License# F- <br /> COMPANY 1YA030±1 <br /> PLUMBER REGISTERED Y/ N. FEE cuRREN - tY/N I <br /> SIGNATURE 6/17 <br /> Address 5 W[I VR'�Xe+h leyle-M License# 1 UbLS -Oq-a 2)0-1 <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED FEECURREN: <br /> Address License# F <br /> OTHER ,COMPANY <br /> SIGNATURE REGISTERED Yi N:- I FEE CURREN L_y N_j <br /> Address License# <br /> I ff-1 Hii I Hiot I H!+Wi *1111 it H2 It I I I!I!HM P.I vq..... 4 1 IMA 1 1 M !III ails <br /> RESIDENTIAL, Attach-(2):Pldt-Plans;(2)Sets of Bulldihg.Plans;(I),set of EniergyForms:R-O-W Permit for now construction. <br /> Minlmum,ten,(-jq).wqrk1ng,days after submittal data.:Required onsits,:Cobstructlon Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Fqplllges!,&.Idumpster,,-Site Work Permit for subdivislonsfiarge projects <br /> COMMERCIAL Attach(3)complete sets of'dullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pennit 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&1 dumpster.Site Work Permit for all new projects.All commercial requirements,must meet complianceI <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY raqqlrao for all NEW construction. <br /> AR <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300,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 /> Rerools If shingles Sewers Service Upgrades A/C . Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter lf.on public roadways-needs ROW <br />