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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received - <br /> Phone Contact for Permitting- <br /> IA-Lxj LL" .E&AAAMA&ECEIMM y1r" <br /> Owner's Name UMpp~Mff _Wnes Owner Phone Number <br /> Owners Address 9IN Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0101) Lai= cyyr__,<� Yy.1 LOT <br /> SUBDIVISION Arlm PARCEL ID01-a'-1 W-a I- D 110- CC OD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> , R INSTALL REPAIR <br /> PROPOSED:USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE So FOOTAGE= HEIGHT 1 <br /> W_" ........... <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> "flp 1$ <br /> =MECHANICAL Ng- VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> phi 4�-1•FfifI4I <br /> .......... ....... ........................ <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED / N FEE CURREN <br /> Address I License# F- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L]2LNj_ <br /> Address I License# I <br /> PLUMBER ion <br /> SIGNATURE REGISTERED Y1. N FEE CURREN N <br /> flfzff�?.6y COMPANY <br /> Address IL41bil )CW I License# 1 Na 53� 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_YIN FEE CURREN <br /> Address License# F_ <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED YIN - FEE CURREN <br /> Address License <br /> ...... I HI 111111111111 H4+H+H-14+ <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(IQ)working days aftersubmittal date.--Required onsite,Construction-Pians-,.Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&_1 dumpster;,Slts Work Permit for subdivisionsAarge 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 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 required for all NEW construction. <br /> 01rectloho: <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 /> Rerooft If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DrIveways-Not over Counter If on public roadways..n6eds ROW <br />