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813-780-0020 City of Zephyrhills Permit Application Fax 813-78D-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> ... ..... 03ZE= MCI V V V.....4 ............... <br /> Owner's Name JAOMCS Owner Phone Number <br /> Owners Address HWVD up uQLe_aS N Owner Phone Number c <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS W I LOT 29 <br /> SUBDIVISION fiCjCjW )4jJVCV PARCEL ID#1'9LA—aU -ai—olic) —()()000- 319D_1 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT' SIGN- DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSEM USE 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE=. HEIGHT <br /> I v a 1 2 2 6 a N <br /> =BUILDING $ VALUATION Of"176TAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> *PLUMBING 1$6DO -Wl'. <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LY/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY VC <br /> SIGNATURE REGISTERED I Y/.N. FEE CURREN la-IN <br /> Address License# \.� <br /> MECHANICAL COMPANY <br /> SIGNATURE• REGISTERED YJ N FEECuRRr:h <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE -REGISTERED 1, Y N,_ I FEEcuRRgh <br /> Address License# r <br /> RESIDENTIAL:— Attach(2):PIof.P,lans (2)sets_of Building Plans;(1)set of"Energy Forms;R-0=1N,Penrilt for maw constuction, <br /> Minimum,.,ten-(.I.Q):,#qrkir!g;days;ifter siibtfilfti-date. -Required oniit6,-Cbn9i0ct16nzPlans,,-Stormwater Plans w/Slit Fence Installed, <br /> Sanitary F4cil!Uqis,&.I,,duMpst4kr,.~$ltq:Work:Permit for subdiVis.lo.tl-s'fiargp.projkcto: <br /> COMMERCIAL Attach(3)complete setiol'Building 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/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attactf(2)''s6ts of E6gjhedrid--PIdns. <br /> *"*PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (NC upgrades over$T500) <br /> Agent(for the contractor)ar Power of Attomeyffd�thbo=4)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 A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter ifpn public roa5ways..needi ROW <br />