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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Received -1-1 ?�c I-dolqPhone Contact for Psrmltllfig- - &l G-7 <br /> Owner's Name 4.C.1 4 Owner Phone Number <br /> Owner's Addressi-g0l) I es's Owner Phone Numb-or <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [�Z)aq CDj)jpje LOT# <br /> r <br /> SUBDIVISION 61 Wev0do PARCEL IIWJ aU-a I - D110-00'q00-00ac) <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED ' R NEWCONSTR-F__J'� ADDIALT' SIGN- DEMOLISH <br /> INSTALL F-1 REPAIR <br /> PROPOSEMUSE SFR 0 COMM- Q OTHER <br /> TYPE OF CONSTRUCTION - Q .- BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F So FOOTAGE HEIGHT <br /> lit......1. 14 11411111 0 L14 944 14M 14 1 1 1 <br /> =BUILDING $ VALUATION'OP TOTAL CONSfRO-OCtiON- <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 1 <br /> PLUMBING $­ <br /> cx)50c) <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F-1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> ................... H4+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L)LLNj <br /> Address License# F— <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK ILN <br /> Address Llcense# <br /> PLUMBER COMPANY <br /> SIGNATURE. (Pup REGISTERED Y[N .FEE CURREh-- 11L_yjNj <br /> Address Py+[1jtV)eM 1?)C)- '..Ucense#-i LSS - Oq �a <br /> MECHANICAL' -COMPANY <br /> SIGNATURE REGISTERED. L.Y1 N FEE CURREN <br /> Address,' T-7 ucense# F-7 <br /> OTHER .COMPANY <br /> REGISTERED FEE CURREI% <br /> SIGNATURE <br /> Address 4T <br /> License <br /> ....................................... ...........I.I.I. <br /> RESIDENTIAL Attach-(2),P+I6fPIans'. �6f1§u1ldI'g_1pI`h Permit for new construction,(2)sets n- Plans, <br /> M <br /> Pt an`an`&�Stormwateir'Planswt tilt Fence Installed, <br /> COMMERCIAL Attach(3)co_rhplete`siti'of suild �4'irPIa'n-"s"p'l'u-s--a' Life Safety Page;(1)set of Energy nit for .Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt 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)"s6ts of Engineered Plans. <br /> "PROPERTY SURVEY required for alf.NEW construction.. <br /> 11 all 11 lip, P, 11 a .I,-1MNMN.1j1EIERRIWEW1q1I 10 11 1-11 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. (AfC upgrades over$7500) <br /> Agent(for the contractor)ofPbwer of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DYER 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-ne'eds ROW <br />