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813-780-0020 City of Zephyrhills Permit Application Fax 813-78MO21 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permiffing- <br /> ................ <br /> Owner's Warne 11 r Phone Number Hui *6 <br /> Owners AddressI015Da N ftCN �blftV- 0(,], Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F6 cr--I, MoAden VtoUDO LOT# <br /> IN —1. 1-a5-aW- I- 1 a D00- WOOD- <br /> SUBDIVISION V� PARCELiDo� <br /> (OBTAINED FROM PROPErrrYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT- Q SIGN- DEMOLISH <br /> - R INSTALL REPAIR <br /> PROPOSED:USE Q SFR Q Comm. OTHER <br /> TYPE OF CONSTRUCTION BLOCK E:] FRAME STEEL <br /> DESCRIPTION OF WORK +(on <br /> BUILDING SIZE SQ FOOTAGE=, HEIGHT <br /> "BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> P 11 1 q DO 00 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS 7 FLOOD ZONE AREA =YES NO <br /> ........................... ............... <br /> .HHHHHHU""! <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY Fftdevtol w-�Wf iov) <br /> SIGNATURE V REGISTERED Y/-N. 1. FEE cum;mh VYIN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN: <br /> Address, License# r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_ FEE CURREN LA/Nu <br /> Address License#.I <br /> RESIDENTIAL Attach(2)Plot+Plans;(2)Sets of Bu'IId1hg:PI6hs;(1)set of Energy�Fonrns;R-0-W Permit for new construction, <br /> Minimum ten(-jQ)wqrkIng;days after-subMittal dat& Required onslte.�ConstructlomPlans;Stormwater Plans w/Silt Fence installed, <br /> ; <br /> Sanitary Fa6illtlet;4.ldurnpstpq.91te+Work Permit for subdivislonsfiarge Projects" <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page-,(1)set of Energy Forms.R-6-W Permit for new construction. <br /> Minimum ten(10)working dayi 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 Attacti(2)sets of Engineered Plans. <br /> -PROPERTY SURVEY required fbr all NEW construction. <br /> a <br /> 41 11.11110111511,11 <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 Attorridy-(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 If.,on public roadways..need6 ROW <br />