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813-780-0020 City of Zephyrhills.Perm it.Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting_ - <br /> Owner's Name M/rYS ("1 aIMI�S S`b. Owner-Phone'Number' 97 1. 4�' <br /> Owner's Address 39901 / U zl f' rl` r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -JO aU,9 I- A LOT <br /> SUBDIVISION <br /> PARCEL;ID# ll-2L`21:.-°°!6-jy7�v®ao7G <br /> (OBTAINED.F.ROM PROPERTYTA),NOTICE) <br /> WORK PROPOSED- NEW B CONSTR' ADD/ALT 0 SIGN. 0 Q DEMOLISH,INSTALL ® REPAIR <br /> PROPOSED USE _ 'SFR COMM 0 OTHER , <br /> TYPE OF CONSTRUCTION' 0 BLOCK FRAME`• u STEEL 0 <br /> DESCRIPTION OF WORK. <br /> BUILDING-SIZE SQ FOO'rAGEtF 7 HEIGHT <br /> 4444, <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $` AMP'.SERVICE: - 0 PROGRESS ENERGY Q W.R.E.C.. . <br /> �LUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0::. SPECIALTY Q; OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER '/ COMPANY 07u r�- • �,w.6vlzf— - <br /> SIGNATURE % O/`Z/3S �t 'S S - REGISTERED Y% N ;: FEECURREI, <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 'REGISTERED:' Y/ N' FEE CURRER <br /> Address " „ License#,. <br /> PLUMBER COMPANY <br /> SIGNATURE' . REGISTERED Y;/.:N_ FEE;CURREh. : Y:/:N <br /> Address. License# <br /> MECHANICAL COMPANY. <br /> SIGNATURE REGISTERED Y/ N I FEE CURREh` <br /> Address License#` <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ Wzl FEE CURREh: 'Y ;N <br /> Address, :'License# 2. ::...,. <br /> O O g O 9Y RESIDENTIAL Attach`2 PlotPlaris; 2 'sets of-Bulldin Rlans; .1=:setoffner FormsR=0=1N-Perrriitfor`new,construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,'Construction Plans,Stormwater Plans wl Silt Feriminstalled;, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionstlarge projects <br /> COMMERCIAL Attach(2)complete sets:of•Building Plans plus a,Life,Safetji 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;'Stomiwater'Plans"w/-Silt•Fenc&installed; <br /> Sanitary Facilities&`1'dumpster.Site Work.Perm it'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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign.back of application,notarized <br /> If over$2500,a Notice of Commencement.1s..required. ,(NP 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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />