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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received )Iq Phone•Contact for PermittinE <br /> Owner's Name Owner Phone Hurnher <br /> Owner's Address HWOO CQpff55 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [Nodq c5affilc Pal M wag LOT 0 <br /> SUBDIVISION IS1 W. PARCEL 100 10q (.-��C) ODS02- 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT- SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM- OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK CA--�!Dn A Y)SACA t I <br /> BUILDING SIZE SQ FOOTAGE=. HEIGHT <br /> =BUILDING $ VALUATION.OF'TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING $1 <br /> I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 111119 H44+++H+M ....... ......... .............................In 1 <br /> HHHHH"H <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN LILN_j <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY CACKm V()M-H on <br /> SIGMATURE REGISTERED Y/ N - +FEE CURREN I Y M I <br /> Address H License#' <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN: <br /> Address License#.F7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y N_ FEE CURREN <br /> Address License# <br /> 1 ............I................................ <br /> eWFo6s*.R-P-W Permit for now construction, <br /> RESIDEN77AL Attach(2)Plot Plans;(2)sets of Building-Plans;(1)set Of En <br /> Minimum ten(IQ)working days after.itubmittal data.:Required on site; <br /> slto,"Cohsti,6cUon:Plans;Stormwatdr'Plafis w/Silt Fence installed, <br /> Sanitary FacIllUes.&.l-,duMpste!,,-.Site Work,'Permit for subdivis,lonsfiarge:pjqjects' <br /> M COMERCIAL Attach(3)Complete sets 6iButtding Plains plus a Life Safety Page;I (i)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 Attach(2)sbtsof Engineered.Plans.- , <br /> ****PROPERTY SURVEY required for a[+I'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 /> DVER 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..needs ROW <br />