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813-780-0020 i City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received UM'' Phone Contact for Permitting — <br /> Owner's Name rM.nn` Le I <br /> �' ' 11 Jl( : i. Owner Phone Number ( - 1 C ,110 LP 1 <br /> r-�Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name ,��111 l /�� 1 /��1 Owner Phone Number <br /> Fee Simple Titleholder Address 11�� <br /> JOB ADDRESS �� V LOT# <br /> SUBDIVISION PARCEL ID#I ILI ' L0'd-1 • 0 '0 <br /> V (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 NADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK mlnj o3x 3 <br /> BUILDING SIZE ! SO FOOTAGE[�W HEIGHT <br /> BUILDING $ "� - - - VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ W AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING <br /> ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS (,I� n FLOOD ZONE AREA =YES NO <br /> BUILDER .� COMPANY <br /> SIGNATURE ��' Imo' �1 I REGISTERED Y/ N FEE CURREN <br /> Address (tutu wak fi License# <br /> ELECTRICIAN f� ANY r- <br /> 0614jile <br /> SIGNATURE ( I )L I / CO,COM <br /> REGISTERED Y/ N _J FEE CURREN /N <br /> Address D3 4u-% License# a:ix $ <br /> PLUMBER COMPANY r J <br /> SIGNATURE 1G REGISTERED Y/ N FEE CURREN Y/N <br /> Address q 7owu wnkfil Licel 'p 1 A _1 <br /> MECHANICAL J / COMPANY CO 1 <br /> SIGNATURE J ( REGISTERED Y/ N_J FEE CURREN I Y//^N <br /> Address � License# 1 v I�M�,, �l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building 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&1 dumpster.Site Work Permit for all new projects.All commercial requirements'must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered 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 notariied-letter-from owner.authorizing same:. <br /> OVER THE COUNTER PERMITTING. . ,(copy of contract required) <br /> Reroofs if shingles 'Sewers Service Upgrades.A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if;on_'publio roadways..needs ROW <br />