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813-780-0020 City of Zephyrhills Permit Application Fax 813-78M02`1 <br /> Building Department <br /> Date Received <br /> 0 <br /> Phone Contact for Permitting. <br /> L444A 11 1 KEA I"I I ..............j.......... <br /> Owner's Name UM MAY AW-eS Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name F_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ONJ LOT# <br /> SUBDIVISION ROM W1nlVFV1* PARCEL IDMJa�—au—al— oloo0 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONsTR ADDIALT SIGN- Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED.USE Q SFR Q COMM OTHER <br /> TYPE OF comimT vnom -BLOCK 'E:] FRAME 'STEEL <br /> DESCRIPTION OF WORK Wie)I nn k <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 4 444,14.1 1 1,14%.......144444 <br /> =BUILDING $ VALUATION OF16TAIL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 'W.R.E.C. <br /> J <br /> r'KhPLUMBING- <br /> LV_ 1$ <br /> =MECHANICAL $ VALUATION OF.MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F__j SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYIN <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/* FEE CURREN - I Y AA <br /> Address 11-it)[I bm "em ..Uoense,#'l U55- ()CQ3� <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED FEE CURREN- <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ Nz-, FEE CURREN <br /> Address License# <br /> RESIDENTIAL' . Attach(2),Plot Plans;(2)Sets of BUlIdlng.'PI ains;(1)-isli of Energy ftims,R;-t?-W Permit for new construction, <br /> Minlmumten(-10)working days aftersubmittai'date.:Required onsite,:Construction Plans,Stormwater'Ola'ris wl SlIt'Fence Installed, <br /> Sanitary Fa'clIffles&.1,duMpsteq-SItq,Wo&Pennit:for subdivisionsfiarge projects <br /> COMMERCIAL Attach(3)complete sets of Build frig Pions 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,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.-All commercial requirements.must meet compliance <br /> SIGN PERMIT Attactf(2)"sets of Englheine&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. (AfC upgrades over$7500) <br /> Agent(for the contractor)orPower 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 ifon public madways..needs ROW <br />