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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received C <br /> UQUA41M . Phone Contact for Permitting- <br /> Owner's Name -fl,mc I <br /> 's Owner Phone Number <br /> Owner's Address S+ Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LZAIOSH MWEW CM&E LOT 0 <br /> SUBDIVISION M dd en 9il vez PARCEL IEW <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR- ADD/ALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED,USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK On 4i W) vNa 11, <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> 1 1--444 4444+N44444-� <br /> =BUILDING. 1$ VALUATION.'OF TOTAL CONSTRUCTION- <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> A t,-P <br /> FV__1PLUMBING <br /> Lr- � <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1111 H+i4+H 111111 ...........HHIHHHH!; <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N <br /> _J FEE CURREN LILN_j <br /> Address License# <br /> PLUMBER COMPANY t bb <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 7N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE- REGISTERED Y/ N FEE CURREN LYIN_j <br /> Address F_ License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address F License <br /> 4+"+ti+ ..............................9 M i i ...............11"11111........ <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.ten(10)working days after submittal date.-Required onsits.Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1,dumpster,Site Work Permit for subdIvislonsharge projects, <br /> COMMERCIAL Attach(3)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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERM5T Attach(2)"sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> III .11pillp <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back-of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C 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 PERMITTING . (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades AtC Fences(Plot/Survey/Footage) <br /> Drlvsways-Not over Counter if on public roadways-needs ROW <br />