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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelve.dj, q ;I Phone Contact for Permitting <br /> Owner's Name Wffk- flow Cs I Owner Phone Number <br /> Owner's AddreasH—Laop 0 apu sf, Owner Phone Number <br /> Fee Simple Titleholder Home Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS IQ54a =ulit LOT <br /> SUBDIVISION F:57 j t v-eyaa PARCELID# 21 It 0' WROD 006 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR'- ADD/ALT_ SIGN- DEMOLISH - <br /> INSTALL REPAIR <br /> PROPOSED';USE SFR COMM' OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SOFOOTAGE= HEIGHT <br /> plullIP114 W4444444444. 1 1 a 1 1!1 1 2 <br /> =BUILDING $ VALUATIOk'OF TOTAL CONStkOCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> 1$m <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1111111 H+f+f+§+H+ ...............................................HIIH <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED FEE CURREN LILN J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Ly LN—_-j FEE CURREN <br /> Address License# r <br /> PLUMBER 64— COMPANY fl-midotm I <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN <br /> Address H511 P064hitAlery) Licensal# (Dqa 33 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> OTHER COMPANY L_ - <br /> SIGNATURE REGISTERED Y N... FEE CURREh <br /> * <br /> Address License <br /> RESIDENTIAL Attach.(2).Pkif Plans;(2)'s4ts.of96IldIhlgPIa'hs;(1)set of�Energy�Fori`ms;R-O-W Pennitfor now construction, <br /> Mlnlmumtep(10)wqrking'+,days after.subffiltiall date.;Required onilf(i,'Conswdcn°Plans;Stormwateir Plans w/Slit Fence installed, <br /> Sanitary for subdivislonshargep <br /> ry projects <br /> COMMERCIAL Attach(3)complete sets of tul6n'q Owns' 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)sets of Engineered,Plans. <br /> ****PROPERTY SURVEY reoulred 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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or-Power of At1bmey(f6r the owner)would be someone with notarized letter from owner authorizing same <br /> DVER 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 Mon public roaftkys..niedi ROW <br />