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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Recehied Phone Contact for Permitting <br /> rrrrrrrn vq........XCC133333= ............ ....... .......IA&I <br /> Owner's s v(P11"p-If Owner Phone Number j3 6Td- <br /> i <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simphi"ritteholder Address <br /> JOB ADDRESS LOT# '0'0 <br /> SUBDIVISION PARCEL IDIJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN <br /> INSTALL F__] 'REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> 17-171 7_7 <br /> BUILDING SIZE SQ FOOTAGE,&7_ HEIGHT <br /> �BbILDING 1$ VALUATION OF TOTAL CONSTRUCTION' <br /> F:�qgl.ECTRICAL AMP SERVICE F-1 PROGRESS ENERGY 0 W.R.E.C. <br /> ®PLUMBING <br /> Jig <br /> [:ZMECHANICAL A_S <br /> VALUATION OF MECHANICAL INSTALLATION <br /> oc, <br /> =9AS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES `Nov 11861 1 <br /> BUILDER • COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN L_XLN J <br /> Address License#, Fc-;g 25-,1,,9 <br /> ELECTRICIAN A99 COMPANY Ile_ <br /> SIGNATURE REGISTERED Y N I' FEE CURREN YIN <br /> Address, fo h4t. License# 1 Re <br /> PLUMBER A -COMPANY <br /> SIGNATURE REGISTERED ] -'Y/ N <br /> Address 11V License#. <br /> MECHANICAL COMPANY� I*Oto4lve Q¢14-�rz 49,V,>" <br /> SIGNATURE REGISTERED L.� <br /> I Y/ N: FEE-CURREN Y I N <br /> Z <br /> Address License# Fc.4cey, <br /> ' <br /> OTHER,,; COMPANY REGISTERED ERED YIN FeecuRREN Y J N <br /> Address License <br /> t Hill <br /> :.RESIDWTIAL A(taq4(2),Pl9tfF,'1anA;:(2)s6ts,of,Buildihg Plans;.(l).set of Energy Forms;1:1 !W-PeOrnh f6.newconstruction— <br /> Minimum u(nid onsite,Construction Plans-'Stonnwat&Plans wfSllt Fence installed t6h�-(,10)'w'orklh6:d��iei�ei�u' rnittai'date., Required <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisiahs/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life,Safsty Page;(1)set of Energy Forms.R-O-W Permit for new.construction. <br /> Mirtimurn'ten(10)w9rkIng,days after.submittal date._Re*quired-onsite,Construction Plans,ftrmwater Plans.w/Slit Fence'Installed, <br /> Sonitary.Facilifies&I dumpster.Site Work Permit for all new;projects:All,commercial requiremenbi-must In.eet compliance <br /> SIGN PERMIT Attach(2)iets.of 5rgineeted Plans.. <br /> ­**PR0PER1,X;SURVEY required for all NEW construction. <br /> ............... . . ............ <br /> Fill but application completely. <br /> Owner&06ntractor-sign•back of.application,,notarized <br /> Mover$2600,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent'ffot'the contractor)or Powerof Attorney(for the owner)would be someone with notarized letter from owner authorizing same, <br /> VVER11THE:COUNTER PERMITTING (copy.of.contract required) <br /> 1166,61S-if shingles -sewers' Servlce-Upgrades'A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />