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813-780-0020 City of Zephyrhills Permit Application Fax-813-78M21 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> owner s Name owner Phone Number <br /> Owner's &Lakr-hr Owner Phone Number F <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS U-7-36 P6t-q*71akb LOT# <br /> SUBDIVISION [Si I ve-r UEQ �-5 7 PARCEL IDOW-�Pt#_C?1—0150-0000-0-O/6V <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONME!r ADDIALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 71 FRAME L,J STEEL <br /> DESCRIPTION OF WORK &I Ale-CbqMc CO-, CDMppn"s,Q---5-4oA4 V/P <br /> BUILDING SIZE E=!! SQ FOOTAGEc� HEIGHT <br /> . .EB . . . . . . . . . . . . . . . . . . . . . . . . . . .UILDING IS <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESSENERGY W.R.E.C. <br /> =T-LUMBING is <br /> CE'MECHANICAL 1$Lf/H'5',rn VALUATION OF MECHANICAL INSTALLATION <br /> =c,fks Q ROOFING r7 SPECIALTY = OTHER <br /> FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 444-" <br /> BUILDER COMPANY <br /> SIGNATUR" REGISTERED I YIN FEE CUNiFA <br /> Address 7 License#F- <br /> ELECTRICIAN COMPANY <br /> $IGNATURIE REGISTERED Y/N FEE CURREP, <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN J <br /> Address 7 License#F- 7 <br /> MECHANICAL COMPANY fie_ <br /> SIGNATUA-- <br /> REGISTERED I YJ N I FEE CURREN Llaj <br /> Address S I M;34 I License#lapcoq� I <br /> OTHER COMPANY F <br /> SIGNATURE: REGISTERED Y/ N FEE CURREN LILN J <br /> Address License#F <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 ton(10)working days after Submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of SWIcting Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction- <br /> Minimum ten(10)worldrig days after submittal date. Required Waite,Gonstruttlon Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster.Site Welk Permit for all now Projects.All commercial requirements must meet compliance <br /> SIGN PEWIT Attach(2)sets of Engineered Plans, <br /> PROPERTY SURVEY required for all NEW construction. <br /> igi=ts: <br /> Fill ow 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 ft contractor)or Power of Attamey(for the owner)would be someone with notarlZed letter from Owner authorizing same <br /> OVER THE COUNTER PERMITTING <br /> (copy ofcon" required) <br /> Rerods if sningles Sevmrs Serv)ca 'F6nC",lPIOt/SUrvey1FOOtaQe) <br /> Drivft,ayr,Not over counter if on public roadways:needs <br /> ;tr <br />