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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Wr <br /> Datenn <br /> I V I ail <br /> Received Phone.-Contact for Parmittling- <br /> ............... <br /> Owner's Name Owner Phone Number <br /> If JQ <br /> Owner's Address H(Qco wwfe-C)s S+-. Owner Phone Numb-or <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS C0910 It fal 15S LOT# <br /> SUBDIVISION D PARCEL ID# 0 00300— MAO <br /> (OBTAINED FROM PR0129RTYTAX NOTICE) <br /> WORK PROPOSED _R NEW CONSTR ADDIALT' SIGN DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED-:USE Q sFR 0 COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK �vylcla-Obn 16+011 <br /> BUILDING SIZE 6"1 SO FOOTAGE HEIGHT <br /> ........... <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is AMP SERVICE = PROGRESS ENERGY Q W.R.E.0 <br /> []PLUMBING <br /> .1$1(000. 001 <br /> W <br /> [MECHANICAL r&_ <br /> I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHH+H4+H+I+ HHHHHHHHle.......i...... HIHHHHIIII HHHHi <br /> BUILDER COMPANY I I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ Nj FEE CURREN 'LUN J <br /> Address License# r <br /> PLUMBER jfl COMPANY eAn � on on <br /> SIGNATURE REGISTERED Y/_N. FEECURREN - F-JVIN <br /> Address IJ Llcense# IL/11 _ OqG?3a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y,/ N . FEE CURREN. <br /> Address License# F <br /> OTHER .,COMPANY <br /> SIGNATURE REGISTERED 1* Y/ N_ FEE CURREN L_yj N j <br /> Address License# <br /> RESIDEN71AL Attach.(2)PldtPlans;(2)ieti.oF96IIdIhg�','Plans;-(1)adt of-Ef!ergy,Foff:_ms;"K-0-oW Permit for new construction, <br /> Minimum-.tepz(10)-working,days.oftets(ibffilftI date.;Required wt Silt Fence Installed, <br /> Sanitary Ficlhos&:I..dup)pstef:,;�$itq,Wo,y,k�P-ormit for subdivisid.nallarge pAedti;' <br /> COMMERCIAL Attach(3)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/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attadh(2)"setsofEhjlheeriid.Plins.- <br /> ""PROPERTY SURVEY required for all NEW construction.' <br /> ........ ... ............ ......... <br /> DlractlollnZ: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice ofCommencement Is required. (AfC upgrades over$7500) <br /> Agent(for the 6oniracior)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 Ifjon public roadways__nieds ROW <br />