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813-780-0020 City of Zephyrhills Permit ppiicatiOn Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact foe Pe mitting. (715 A M `76 <br /> JJA ILA A <br /> Phone Number Owner's Memo W5 or Phone Number <br /> Owner's AddressH(n U) MQW5� S+1- I Ow or Phone Number C� �� <br /> Fee Simple Titleholder Maims Ow or Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 0 C� <br /> SUBDIVISION PARCEL IDN I'a) Q1 to- ccapo— o I C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 14EW CONSTR ADD/ALT IGN DEMOLISH <br /> R INSTALL 8 REPAIR t <br /> PROPOSED,USE Q SFR F1 COMM OTHER r— <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME �TEFL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 80 FOOTAGE EIGHT <br /> migilkilli ... ..... ......1 14-144-14-1 14 111 1 W4444444-� <br /> ®BUILDING f$ VALUATION'OF TOTAL CONS RUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> ]PLUMBING <br /> . 1$ <br /> T <br /> =MECHANICAL 1$ VALUATION OF MECHANICAtINSTALLATION <br /> ®GAS Q ROOFING SPECIALTY HER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> I i I I I i I I I I I 11. 411111 .............................. .......................... ......... <br /> ... ... .......... <br /> BUILDER COMP"-w <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> PLUMBER COPRPMY <br /> SIGNATURE 0 P REGISTERED Y/ N FEE CURREN I'-'Y N <br /> Address L4bi I kfAV_)1f_heM 2d, I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED N.. FEEcuRREN <br /> Address License'# F <br /> 4+H+K 4�H.N*' Hffm�f++H <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullldihng�Plans;(1)sat of Energy-Forms;R- -W Permit for now construction, <br /> s, '(T Required sl Mn <br /> Minimum ten(I 0)workIn g days after.submittal date.:Required onsite,'Con ction Plans-,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&,I.duMpste!',:Site,-Work,Permit for subdivisionsnarge proj cta <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of nergy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons ction Plans,Stormwater Plans wl Slit 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 alINEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back'of application,notarized <br /> if over$2s00,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with note e d 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/Footage <br /> Driveways-Not over Counter If on public roadways..need6 ROW <br />