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813-78M020 City of Zephyrhills Permit Application Fax-813-78o-0021 <br /> Building Department / <br /> Date Received Phone Contact for ParmlC(ngg t — <br /> fl1118111 � t1150 <br /> Owners Name L FId3 Ow-or Phone Number tea? <br /> r <br /> Owners Address c!2 C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /` <br /> JOB ADDRESS Z �Z LL V LOT# <br /> SUBDIVISION PARCEL ID# ' o f <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW <br /> STALLS ADPA RT SIGN 0 [] DEMOLISH <br /> PROPOSED USE SFR COMM �J OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL [� <br /> DESCRIPTION OF WORK ^ a �( ,C9 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ' <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.RE.C. <br /> =PLUMBING $ <br /> MECHANICAL $ J d40 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> u <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN I/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Ly!N <br /> Address License#F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED N I FEE CURREN I N <br /> Address ! Ucanse# f <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREN LILN <br /> Address License# <br /> 8111111111981I1111161111161181118i1111111i1111861818B11I01111119181 <br /> RESIDENTIAL 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 onste,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for aubdivislonsfiargp pmleota <br /> COMMER= Attach(2)Complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms,R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomwater Plana w/Silt Fence installed, <br /> Sanitary Facilities&1 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 /> Direct a. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> ff over$MG,a Notice of Commencement Is required. (AIC 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 PERMrMNG (copy of contract required) <br /> Rercofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />