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813-780-0020 City of Zephyrhills Permit P pplication Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Pe mittln$t 2) AQ-1 E)-IS- <br /> LL&Ljjaw I AA I A <br /> Owners memo Yvtf �M 6 OW of Phone Number <br /> Owners Address eE)-) S+_ I Ow or Phone Number Fee Simple Titleholder Name Ow or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS aMiul LOT 0 <br /> SUBDIVISION VfV 1 PARCEL.,..ia+aw-w - D 10 0000D- OW D I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR-F-1 ADDIALT SIGN DEMOLISH <br /> .R INSTALL REPAIR <br /> PROPOSED'USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> <c)-tc <br /> DESCRIPTION OF WORK -Atl I' <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING. $ VALUATION.OF TOTAL CON tfkt`ICTION <br /> =ELECTRICAL AMP SERVICE F7 PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> 11 <br /> =MECHANICAL 1$ V VALUATION OF MECHANIC INSTALLATION <br /> =GAS = ROOFING SPECIALTY = :)THER - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .................... .................... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED =N FEE CURREN <br /> Address i License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY Lotoaf On <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I V/N <br /> Address H5h r1-L-,,eA*1kAnPM I Ucense#1 L55- fy, <br /> Lem 5 <br /> wl <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L Y N FEE qURREN <br /> Address License# F- <br /> OTHER COMPANY 1; Y/ N., FEE CURREN <br /> SIGNATURE REGISTERED <br /> Address License# <br /> RESIDENTIAL -Attach(2)Plat Plans;(2)sets of gulldlng•Plans;(1)set of EnergyForms; Z Permit for now construction, <br /> Minimum,ten(10)working days after submittal date..Required onsite,Const,u crion Plans;Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&.1.dumpSt9r,Site Work Permit for subdivislonsfiarge p 'ects <br /> COMMERCIAL Attach(3)complete sets of Building Plains plus a Life Safety Page-,(1)set f Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Con truction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All mmercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <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$7500) <br /> 10 Agent(for the contractor)or Power of Attorney(for the owner)would be someone with no arized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING .(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Foota e) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />