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813-780-0020 City of Zephyrhills Permit Application Fax-813-78HO21 <br /> Building Department <br /> Date Received Phone Contact far permm tuna 1( 69go. . . . . <br /> Owner's Name N(�-A Owner Phone Number lou Ic <br /> Owner's Address 51 Q8 CAt 4P--%1r L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> —7 <br /> JOB ADDRESS r-6c---x LOT#Lic4r& -- <br /> SUBDIVISION 1 PARCELID#1 10 -Oto-Q1-NO-t>WOU- 00-10 <br /> (oe""'ED PROM <br /> PROPEMT"NOTICE) <br /> WORK PROPOSED NEW IONSTRR AODIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE F--1 SFR Q COMM OTHER I Mk- <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK &c\(Ae- kbp-- �co� <br /> BUILDING SIZE Sfi JFOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING 1$(e, —7 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL i$ AMP SERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> MMECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER: COMPANY <br /> SIGNATURE <br /> REGISTERED I YIN PEE CURRE11 <br /> Address License#F <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN Y 1 N <br /> Address License# <br /> PLUMBER COMPANY = . <br /> SIGNATURE REGISTERED YIN FEE cuRRB <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREN LyjN J <br /> Address License# <br /> OTHER COMPANY EKj <br /> SIGNATU REGISTERED I W N FEE CURM L_yj N J <br /> Address 1 %9149 Ckle AY License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans-,(1)set of Energy Forms,R-O-W Permit for now construction, <br /> Minimum tan(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary Facilities&I dumpater,She Work Permit for subdivislonallarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page,(I)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worldng 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 Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Dit"Ut.tIl <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> Rover$2500,a Notice of Commencement Is required. (AIC upgrades over$7600) <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 (From of Application Only) <br /> Rerooft if shingles sewers Service Upgrades A/C Fences(PtotfSurvey/FoGtage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />