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B1a-780-0020 City of Zephyrhills Permit Application Fate 81 3-780-0021 <br /> Building Department <br /> Date Received <br /> Al 1 �- Phone..Contact.-for Permitting- <br /> -LUAJJ� ............ <br /> 6&1- <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name- Owner Phone Number <br /> Fee Simple Titleholder Address LOT#JOB ADDRESS <br /> PARCEL ID918+3(Val-ODO -00000-00� 10 <br /> SUBDIVISION (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT' SIGN- DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED:USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION -BLOCK FRAME -STEEL <br /> DESCRIPTION OF WORK. <br /> BUILDING SIZE F_ SQ FOOTAGE HEIGHT <br /> 1 1114 ............. <br /> =BUILDING $ VALLIATIOWOF-fdTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING­ <br /> 1$ 00 1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ]GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ........... <br /> 11181&111, H+H+H* <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREh L_jLN <br /> Address License# <br /> ELECTRICIAN COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURREh'' <br /> Address License# <br /> PLUMBER COMPANY kY'ICrA- Do <br /> SIGNATURE REGISTERED- I Y N FEE CURREN PY4 N <br /> Address Licens0; <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED. f.YJ N FEECURREN: <br /> Address License# <br /> OTHERCOMPANY.: <br /> SIGNATURE REGISTERED Y N,_', FEE CURREN LILN J <br /> Address Llobrise <br /> ................ <br /> RESIDENTIAL.', Attach-(2)�P <br /> -O*W Piafinitfor now construction, <br /> MinlmumAe -ilati).'.Required onsffii.-Con-66 c-116m Olans,-'Stormwater-Pla''n's w' <br /> n,(I.P)wqrking'days.;3fter..,ttibMIIla /SkFence Installed, <br /> ' i I <br /> Sanitary Fj9IjIUep,&1,AUMp%qf <br /> •,�$JtqWqrk-:Permlt for subdivision efiarge projects <br /> complete'COMMERCIAL Attach(3)complete sets of Building Pldnipl6s a Llfe'Saf6ly 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/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projdote.-All commercial requirements,must meet compliance <br /> SIGN PERMIT Attach'(2)sets of'Eh4(6eiricf;PIa_ns.- <br /> 'PROPERTY SURVEY required for all NEW construction.. <br /> I UP I P I M I I 1K 1"" 111 1 gill Jill 1.1- ol-11 li11111111111,1111W <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'(16i 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 if-on public roalways-needs ROW <br />