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tsid-780-0020 City of Zephyrhills Permit pplication Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> S Permit <br /> Department <br /> P' <br /> 4Dn <br /> rme I <br /> Phone Contact for Pormittin - <br /> Owner's Name 0 nor Phone Number <br /> Owners Address H WCO U3 nor Phone Number <br /> Fee Simple Titleholder Name Ot her Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS EAs-14 LOT a <br /> SUBDIVISION PARCEL IWFa+ @kP- R Dk10- 0=- Q1QD <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 BLOCK FRAME EEL <br /> DESCRIPTION OF WORK 1pr� cc-101 <br /> BUILDING SIZE L-" m <br /> $Q FOOTAGE= EIGHT <br /> ............ <br /> =BUILDING VALUATION OF TOTAL CON tkOCTION <br /> =ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> r0co.00 i <br /> =MECHANICAL 1$ VALUATION OF MECHANIC INSTALLATION <br /> GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 HHHHHH!H I............................ ............... LA.A.A.-I...J. I. <br /> BUILDER COMPANY' r <br /> SIGNATURE REGISTERED Yl N J FEE CURREI, <br /> Address i I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREIS <br /> Address LiL License# <br /> PLUMBER COMPANY J +J&(JCV, _n tmCfA+ion I <br /> SIGNATURE REGISTERED I YIN FEE CURREIN, W N <br /> Address M511 1b_e+WMeM License# J <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address HIHHHHIHHHI License-# F 14 1 111 111;"+H7H+H-t I <br /> RESIDENTIAL -Attach(2)Plot-Plans;(2)sets of Bullding.Pl ains;(1)set of Energy,Forms;R-O W Permit for now construction, <br /> Minimum.ten(10)morkIng days after submittal date.-Required onsite,'Constnitctlon Plans-,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&_1,dumpste!-,z Site Work-Permit for subdivislonsnarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of 4nargy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All co mercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW construction. <br /> _rT-Vill U pill <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. (AIC upgrades over$7500) <br /> Agent(for the <br /> contractor)or Power of Attorney(for the owner)would be someone with noted ad letter from owner authorizing same <br /> OVER 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 if an public roadways..n6eds ROW <br />