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8,3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rom ad Phone Contact for permitting <br /> Owner's une Z Hilis L71 D Owner Phone Number <br /> Owner's' dress L�-63, Powner Phone Number <br /> Fee Sim Titleholder Name owner Phone Number .................................. <br /> Fee Simp e Titleholder Address <br /> JOB AD 59425 E-wrareen Y i ih=, W Agt' LOT <br /> SUBDiVVI [ON aw V1 il A PARCEL lo#16 a-Q('0 1-00 10-c6?)—W 0 OQO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK P OPOSED NEW CONSTRE/ ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROP ED USE Q SFR Q COMM OTHER F <br /> TYPED CONsTRuc-noN BLOCK FRAME STEEL <br /> DESCRI ;ON OF WORK f&s,F-�q gal Ale, e,-cu+, OR comronents, P-T 0 r sysfcm <br /> SUILDI G SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> is —1 <br /> ELECTRICAL S AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING is VALUATION OF MECHANICAL INSTALLATION MECHANICAL 4f <br /> CAS Q ROOFING r7 SPECIALTY = OTHER <br /> FINISH D rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILD�R COMPANY = FEE <br /> SIG Re- F REGISTERED I YIN I Y/N I <br /> dress I Ucense# <br /> SLE RICI.6N COMPANY = <br /> SIG RE REGISTERED I Y/ N I FEECURREN I Y/N I <br /> dress I License# <br /> PLUM ER COMPANY1 = <br /> SIG, RE REGISTERED I YIN I FEE CURREN Lyl N_J <br /> revs Licensett F— <br /> MEC ANIC AL COMPANY 163hr6 Prcpamc-054tAw! <br /> SIG P.. REGISTERED I Y/N FEErCURREN I YIN <br /> dress vW1-A1ieniT'd---z+a—bFL aa- 5q4 I License <br /> OTH R COMPANY <br /> SIG TURF REGISTERED I Y/ N I FEE CURREI, I Y/N <br /> dreis License# <br /> RESI ENT:AIL Attach(2)Plot Plans;(2)sets of Building Plans;(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,Stonnwater Plans wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COM ERVAL Attach(2)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)working days after Submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sift 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 /> . . . . . . . . . . . . . <br /> Di <br /> III-.U"application completely. <br /> r&Contractor sign back of application,notarized <br /> fovler$251010,a Notice of Commencement is required. (A/C upgrades over S71500) <br /> gent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> THE <br /> OVE THE COUNTER PERMITTING (copy of contract required) <br /> S S.f S <br /> Re il'sningles Sewers service Upgradei:AIC Fences(Plot/Survey/Footage) <br /> .V. <br /> nvft,ays-Not over Counter if on public roadways <br /> ..needs ROW <br />