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813-780-OD20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Per"ttin fa 1 01 <br /> 2..............Owner's Name Owner Phone Number <br /> Owner's AddrozsMoob Lo cNains Owner Phone Number <br /> Fee Simple Titleholder Name, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT <br /> SUBDIVISION U I Wemaclo PARCEL ID#j'1)Y—a(0' a1_ CAID - ODS00- DDLID j <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR- ADDIALT' SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED-,-USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> Cal(a DESCRIPTION OF WORK `ri <br /> BUILDING S17-E SQ FOOTAGE . HEIGHT <br /> 11111115114 1.1, 14.1.11111 <br /> =BUILDING. 1$ VALUATION"OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING I$i(oo.no <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =PAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I I I I a 1 1 1+14 HI4"I I HHH"Hiii"Hi ell 1 a <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ Nj FEE CU1RREh7 = <br /> Address F_ License# <br /> PLUMBER COMPANY <br /> SIGNATURE r,Ila <br /> REGISTERED Y.I N, FEE CURREN 1�_M I N <br /> Address License.#1 . I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I..Y/ N_j - FEECURREK. <br /> Address License#'r <br /> OTHER ,COMPANY­� <br /> SIGNATURE REGISTERED I Y N.... FEE CURREN <br /> Address L Idense#- <br /> 111HHH! +HHHHH!HHH.e <br /> RESIDENTIAL,-- Attach(2),Plot,Pla n a-(2)a6w of'#61id I ni"0::A mails;s;-(1)i6i of-Ehe r-gy'Foi-Tin i§i;_R-O-W"'Pbrrrilt for new construction, <br /> Ub h ' C Mlnlmum,�.�op,(-10)tWorkin ,"days.;aftet,,s MIttI'date.-R6qWed1onslta,' onstructl6ri-Plans-Stormwateir*Plans w/Slit Fence Installed, <br /> .9 <br /> Sanitary PaciflUos:&:!.-.dLiMpster�$ltqWp!k;.Pepitfor.s,ubdlv4sWntflarge.pmq* <br /> COMMERCIAL Attach(3)66in pleteiseti 0fAUIldiri§016-6i 61Us-a Life Safety Page-,(1)set of Energy. .Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects:All commercial requirements-must meet compliance <br /> SIGN PERMIT Attactf(2)-Bets of Eh9lhoevid Plans. <br /> `*PROPERTY SURVEY required for all NEW construction. <br /> ............ <br /> Dlrectl=11 A 11111 . . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300,a Notice of Commencement Is required. (AjC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomdy(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING , .(Front of Application Only) <br /> Rerools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivoways-Not over Counter If.jon public madwbys..6696 ROW <br /> 7, <br />