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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �nlq 1-3 01q t Phone Contact for ParmMn <br /> 1 -11321311011 ca= <br /> It-4 <br /> Owner's Name Ix- -1 L� %.A.4sm LAI 0011td f ftiwaer Phone Number <br /> Owner's Addreaslac5o�i M 91 )ON1Q. T�n_RET)d Owner Phone Number <br /> Fee Simple Titleholder Name ,17 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS en MaAde r. LOT* <br /> SUBDIVISION PARCEL ID0135- aw - Rl--- Ot 00 - OOCCO- COD : <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED- e <br /> NEW CDNSTRf-1. ADD/ALT� SIGN` DEMOLISH <br /> INSTALL F__j REPAIR <br /> PROPOSEDMSE Q SFR M COMMI OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 'STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE J_ HEIGHT <br /> �l 211111126201!1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1"4� <br /> =BUILDING <br /> VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING. <br /> 111%0,06 . t <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 'SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD.ZONE AREA =YES, NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address L License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address J License <br /> REGISTERED Y.L.N. .- FEECURREN ' I WN <br /> PLUMBERJ COMPANY *AyAeVtC_W AM9 <br /> SIGNATURE <br /> Address Na3o) <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED , YJ N I FEEcuRREN: <br /> Address <br /> LiCense# F <br /> OTHER <br /> COMPAAiY <br /> SIGNATURE. REGISTERED I" Y N_'I ..FEE CURREN <br /> Address License# <br /> ...............11 IRMO, ................... <br /> RESIDENTIAL- Attach(2),PIofPIans,--.(2)i6fs,bI`Buildi' <br /> ng.Ptah"s {1}sef at Energy Form§;R=O-W'Perinit for new construction, <br /> Minimumite (.19),!A�c!Mpg dqiysafter--�6brhdate".'�Requlied ohiite;bonsitu6ti6n;Plan,s;Stormwdter'Plebs m/Slit Fence installed, <br /> . � � 11 t1i-1 <br /> Sanitary Fekqilldp*,A,I.duMpster.,-SIW Work.-,Perrnit for subdivisionsfiargeprojectik <br /> COMMERCIAL Attach(3)complete sets of Building Plan s plus a'Life Safety Page;(i)set of Energy Form'a.R-OW 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)setr;ofE6jkieere*,d-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. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING. .(Front ol'Application Only) <br /> Rerooft If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Mon public roadways..n®oda ROW <br />