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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received 2-S <br /> Phone Contact for Permitting, PR'13 q oi 5 <br /> L <br /> Owner's Nam® My C,5 <br /> Illy, -6 1 Owner Phone Number <br /> Owner's Address -A Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS oia LOT 0 <br /> SUBDIVISION I AA*\dd(In IN 0 CIV PARCEL Ii"1-C3Li- 2W- Q 0=- ��J <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR. ADDIALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED,USE Q SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK I i W6 bn "I abl-cl 1,1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING, 1$ VALUATION.OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> r 11-oo <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ®GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> ... ............ ...... ------------ <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# r PLUMBER COMPANY M cFey -Hb <br /> ;:�w I M64 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN E:��N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED LY/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 10 11111!+H+4+H+ <br /> RESIDENTIAL Attach(2)Plot Plans-,(2)sets of Bulldlng 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-,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&,I.dumpster,+Site Work Permit for subdivislonsnarge projects - <br /> COMMERCIAL Attach(3)complete sets of Building Plains plus a Life Safety Page;(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,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 /> 1111 milli go 11 oil 11 11111, 11111 1 1 101911 mill, P.111 go, IOU 9 "14111111.1111! 111P 111a <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300,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 /> DVER THE COUNTER PERMITTING . (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter lf.on public roadways-needs ROW <br />