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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Q I- at for Permitting. Di Phone Contact <br /> ... .......... -3333= <br /> Owner's Name Umf va_v es Owner Phone Number <br /> Owner's Addrea.s [)D Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION I firkkn W PARCEL ID#161q-olW-- ai- DLID -DOCCO- 31-7D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED .R NEW CONSTRR- ADDIALT* SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE Q SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK a a+(W <br /> BUILDING SIZE SO FOOTAGEHEIGHT <br /> 1 11 11 1444. 1 11 1 1 1 11 2 1 1 1 1 14. <br /> =BUILDING, 1$ VALUATIO14 OF 16TAL CONSTRUCTION <br /> [ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> b PLUMBING <br /> , 1$ � <br /> 1 CD <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L..jLN_j <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN- L_yj N J <br /> Address I License# F— <br /> PLUMBER COMPANY li+WdQU)n twlcw,� W <br /> SIGNATURE REGISTERED YVN. FEEcuRREN . VYIN <br /> Address [Lill 0_ 1 k1h _Llce.nSq.# I t_/65- oq(35� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L —j ._y./ N • FEE CURREh <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_ FEE CURREh <br /> Address License# <br /> RESIDENTIAL -Attach-(2),Pbt..Plahs (2)s6ts;_dfB6IId1ln"0;,Plans;(1)set o.f E.nerg-y'-For`Is;;'k-P=W,,Permit for now <br /> construction. <br /> MInImUmAen,(jq)wqrkIng'daysaftef%Ub lttal'date._RequIr d onsite o s-ru 6t6n-Plans;Stomwate r'Plans w/Silt Fence Installed, <br /> Sanitary FaclijoeS&Li,duMpptel7,�Site:Wo :Permit for subdiVisloinsfiarge:projects' <br /> COMMERCIAL Attach(3)complete sets of BuIldivi§'Plans 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&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 rqqqlrqd for all NEW Construction. <br /> .......... ............. ......... <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 Attomey(foi*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 Ifon public roa5ways..needs ROW <br />