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813-780-0020 City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Recelvee� J, Phone Contact for Permitting- <br /> ............ ... .............. <br /> Owner's Name LeA(lov- +AoMes Owner Phone Number <br /> r) <br /> owner sAddra m Lo Cu Pf elss SI +- Owner Phone Number <br /> imM <br /> Fee Simple Titleholder Name- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E(03 I- S LOT# <br /> SUBDIVISION PARCEL[D#Ioq-ato-al- wD- DMOD- 005 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED :NEW CONSTRR- ADD/ALT SIGN- DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSEM-USE Q SFR F-1 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK ct" <br /> BUILDING SIZE SO FOOTAGE CHEIGHT]. <br /> =BUILDING $ VALUATION"OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING- <br /> .1$ 1 WWI 001 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =9AS ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> 11 111 1 HHHH HHHH1H 1111112 1 21 1 Hill Hill H44� <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED LIL NJ FEE CURREN L_yj N <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY MIeMevcrW <br /> SIGNATURE REGISTERED Y/:.N. FEE CURREN - N <br /> Address 14,511 License I I Ltb- DC1413 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YJ N FEE 9URREK- <br /> Address License# F <br /> OTHER =MPANY <br /> SIGNATURE REGISTERED 1, Y W. FEE CURREN <br /> Address -7- License r <br /> 11111"!11 1 11111 11111111111111111111 111111 1 HHH!HIMM!'Hf,1- H44 I I I I I I ki I I-! I I I ift <br /> RESIDENTIAL--- Attach(2)PIdtPIans'f.(2)Wi.,of 66111dihd�Plsfis,(I)-set of-En-heirgy.,forimst"R-O-W Permit far new construction, <br /> Minimum:tem(.1,P).Wqrking.days!3fter,'§Ubffi,lttbI date.,1164ultid ohsiltia,'CDhsiiucfl'6n-'0lans,-Stormwateir'Plans w/Slit Fence Installed, <br /> Sanitary 4Mpstq!:-,$ltB!Wo!kPermIt for subdivigloinsfiarge projects <br /> " _ j, - I— ­ <br /> COMMERCIAL Attach(3)complete S2 of BuIldirig(Pidni plus a Life Safety Page-,(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ton(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 now projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attacti(2)-sets of Eng1heen6cf.-Plens. <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 notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ,.(Front of Application Only) <br /> Rerools If shingles Sewers Service Upgrades AIC Fences(PlatiSurvey/Footage) <br /> Drlvaways-N61:over Counter If.,on public roadw6ys..n6sda ROW <br />