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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Pe <br /> rEEnxE= <br /> Owner's Name Owner Phone Number <br /> Owner's AddressNUM U) Cqa(ffb S+, Owner Phone Number <br /> Fee Simple Titleholder Name- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 'cZDd6k PCAIM MLI LOT 0 <br /> SUBDIVISION [75 1 wevock) PARCEL IQ 0 10(4 a(O- 9 1-M(�0 ODD CD_ L-X)q$ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED _R NEW CONSTRR- ADDIALT' SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEMUSE Q SFR COMM- OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK. <br /> BUILDING SIZE SO FOOTAGE c----� HEIGHT <br /> 44 i i A i i I a i R P i I i i <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> 11tPLUMBING I$ L r-v <br /> A A <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ]YES NO <br /> .......... ............. <br /> HHHH13 ................ H+H4+H+H+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LXLN J <br /> Address License# F- <br /> ELECTRICIAN COMPANY I- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License F_ <br /> PLUMBER COMPANY I flcnd cysw oa+f on <br /> SIGNATURE REGISTERED Y1_N, FEE CURREN WIN <br /> Address c -License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREK. <br /> Address License#. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1" Y1 N.. I FEE CURREN <br /> Address License#-= <br /> ............................................................... <br /> RESIDENTIAL- Attach(2)Plot.Plans;(2)Sets of 8611difig*.Plaht;(1),set of-Energy:Forms;R-P-W Permit for new construction, <br /> Minimum terr(10)working days after submittal date.:Required onsite.-Consttucfioh--Plans;,Stormwater'Plans wl Silt Fence Installed, <br /> Sanitary Facilities&14upipster,Site Work.Permit for subdivislonsfiarge projects <br /> COMMERCIAL Attach(3)complete sets of Build,iril Plans 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 Attach(2)-sets of Englheerid'Plans.. - - <br /> """'PROPERTY SURVEY required for all NEW construction. <br /> 11111111 RKIIIIIIIIIIIIII91 Bill I 111w,poll'I 111 1 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2600,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 /> 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 roadways..needs ROW <br />