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813-780-0020 City of Zephyrhills Permit Application Fax-8113-780-0021 <br /> Building Department <br /> Date Repelved Phone Contact fouPermittihg­ Oj 'R 5-1 S- <br /> Owners Name cly- -Hnes Owner Phone Number <br /> Owner's Address too) U) Owner Phone Number <br /> Fee Simple Titleholder Name, Owner Phone Number <br /> Fee,Simple Titleholder Address <br /> r—_ <br /> JOB ADDRESS IL0510 M. b1155 SAI LOT <br /> SUBDIVISION PARCEL 100 N a(O- a I- 0110-OUROO- DO10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED' NEW-CONSTRFj- ADDIALT SIGN DEMOLISH <br /> - R INSTALL REPAIR <br /> PROPOSED-;USE Q SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING 317-E SQ FOOTAGE=. HEIGHT <br /> OWWWN W4444444-14 14 a I&I I! I I I I I I I <br /> =BUILDING VALUATIOWOF TOTAL CONSfkOCTION <br /> =ELECTRICAL $ AMP"SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> 1$ 1. <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> [, GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> .4 1 11 1 11 1 1111 M A 1 iHH 111 I+I+H+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURRM L.XLNJ <br /> Address License# F_ <br /> ELECTRICIM, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFN­ <br /> Address License# F_ <br /> PLUMBER comp�my <br /> SIGNATURE REGISTERED Y/-N I-WIN <br /> Address Lic.ensa# i Ltb - oq_a�C I <br /> MECHANICAL COMPANY <br /> SIGNATURE. REGISTERED YJ N FEE CURREN; <br /> Address License# F <br /> OTHER 6PI10P�Y' <br /> SIGNATU REGISTERED' "1+ Y/ N_ �N <br /> RE CURROK <br /> Address License# <br /> .......... <br /> d �s"dt'loi-t�erg�:Foim�i-R-6�W�Permit <br /> RESIDENTIAL-, Attach-(2),P.16tPlans,�.-(2)" Bull !no:PI for new construction, <br /> MinimumAen.r(jo)working�d4)ts.:afters6brhiftl-date.Required 6fiiiti,:Cons6ctdn Oions'Storrn-watdr'iilahs-W1 Slit-Fbrice Installed, <br /> Sanitary Facl6asAj..duMp4tqq�SIt!kWotk,permit for subdMail ns/Iargo,'- -projects,-",. <br /> COMMERCIAL Attach(3)co'n pietai-s-eitiof OUildI64 Plains 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/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach'(2)'sdts of EfiolneiridAihs.. <br /> **-PROPERTY SURVEY reauired for all NEW construction. <br /> 44TQQx_ 41-44444+14.1611111IR <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over U500,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 roodways..nee&ROW <br />