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813-780-0020 City of Zephyrhills Permit Application Fax 81 3-780-0021 <br /> Building Department <br /> Date Received <br /> )IN Phone Permitting- F Contact for (913 <br /> Owners Name Owner Phone Number <br /> . <br /> Owner's Address Row LO gLog§ S+. Owner Phone-Number <br /> Fee Simple Titleholder Name- Owner Phone Nurnb6r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E035:2- C09ble, bil LOT# <br /> SUBDIVISION 12�1 ft-adb PARCEL ID#1-0'f-01W J- Q HO QQqQQ_QQLIQ <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR r7 ADDIALT- SIGN- Q Q DEMOLISH <br /> .R. INSTALL REPAIR <br /> PROPOSED-,USE Q SFR Q COMM. OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK Inc-40 11 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 1 1 a a a 1 a I 1 1 a i 2 N a N 1 a <br /> =BUILDING. 1$ VALUATIONI)OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ]$ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> (]PLUMBING $ <br /> =MECHANICAL VALUATION OF.MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS L FLOOD ZONE AREA =YES NO <br /> HHHHHHHHHH, HHHHHHH11 <br /> .............. <br /> H+ <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED LILJN FEE CURREN Y/N <br /> Address LIcbnse# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED FEE CURREN L_yj N J <br /> Address License# <br /> PLUMBER COMPANY Wer ILA"eyson i y viw:u,@n <br /> SIGNATURE REGISTERED I Y/:N J. LMN J <br /> Address <br /> JU >5-QC1a3A <br /> L] Reih lf&m P)d ucense# f <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED LY=N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ FEE CURREN <br /> Address _J Ur;ense'# r <br /> RESIDENTIAL -Attach(2),PldtPlans;.(2)i'dti:-i)f'O"U'Iidihiola-n's;'(1)set-of+E.rie.rgy,Fo.-h.n.,;,-'.R-O=W-Piamili' r .fo 'now co <br /> nstruction, <br /> -datii.�;Ri*uiiido-nsit'e,'Co'nt-ti--U�edon.-Plians�.--Stotmwatdr'.Plans w/Sift Fence Installed, <br /> M1nImUmAen,(-10),wqrk qg,*days;after,_s6bffiIftI <br /> for subdivisions/large projects, <br /> COMMERCIAL Attach(3)complete sets of Bulldirig'Pldns plus 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 Perm.1t for all now projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attadtv-(2)sets ofEhOI66er.oid,Pleihs.. <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. (AJC upgrades over$7500) <br /> Agent(for the contractor)or-Power of Attomey(f&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 if public roadwaysaiiedi ROW <br />