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813-750-0020 City of Zephyrhills.Permit Application Fax-813-780-0021 , <br /> Building Department <br /> Date Received Phone.Contact:for Permitting, <br /> Owner's Name Owner;Phone Number <br /> Owner's Address sZ` " Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number. <br /> Fee Simple Titleholder Address ',�t <br /> JOB ADDRESS: .132 L..I �m h M C 63�1-2 LOT# / <br /> SUBDIVISION- PARCEL.ID# <br /> (OBTAINED:FROM PROPERTY-TAX-NOTICE), <br /> WORK PROPOSED NEW CONSTR; ADD/ALT Q SIGN 0 = DEMOLISH.. <br /> B.. INSTALL. B REPAIR . <br /> PROPOSED USE 0 SFR 0 COMM OTHER.- <br /> TYPE OF:CONSTRUCTION 0 BLOCK Q' FRAME' 0 STEEL: 0 <br /> DESCRIPTION.OFWORK Al k k1odows <br /> BUILDIW SIZE. , S.0 FOOTAGE° HEIGHT."` <br /> BUILDING $ i L �, - VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ \ AMP-SERVICE = PROGRESS:ENERGY <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIAL•TY-0. OTHER <br /> FINISHED•FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO!- <br /> 1 —- <br /> :BUILDER COMPANY <br /> SIGNATURE REGISTERED Y./.N' FEECURREP YN <br /> Address G a I License.# <br /> ELECTRICIAN .;COMPANY <br /> SIGNATURE` -REGISTERED- Y/ N. FEE.CURREN• <br /> Address License.# <br /> PLUMBER COMPANY. - <br /> AIGNATURE REGISTERED Y/ M FEE'CURREn <br /> Address 'License# <br /> MECHANICAL COi1flPANY <br /> SIGNATURE' REGISTERED" Y/ N . FEE:CURREt, L"Y/:N <br /> Address License# '. <br /> OTHER COMPANY ; <br /> SIGNATURE ..REGISTERED Y,/'.N FEE.CURREN <br /> Address._ License# <br /> RESIDENTIAL Attach(2)Plot•Plans; _),,,s0ts% Plans;(1);setof;Energy(Forms;:,R-O=WRermitfocnewconstruction, <br /> Minimum ten-('10)working days:afteraubmittal'ilate Require d"onsite;-Consfruction.Plans,Stormwater Plansw/Slit:Fence installed, <br /> Sanitary Facilities&I dumpster;.Site Work`Permit#or'subdivisions/large projects <br /> COMMERCIAL Attach:(2),complete sets,of Building Plans plus-a Life?Safety Page;;(1)set of Energy.Forms..R-O-W Permitfor.new construction.: <br /> Minimum'ten`(1.0);working days'aftersutimittalgate ;Required onsite;-Construdon`Plans;Stormwater"Plans.uv/Silt;Fence installed, <br /> Sanitary;Facilities.&1 dumpster:Site Work Permitifor:all new projects.All'.commercial requirements 'must meet compliance- <br /> SIGN PERMIT Attach.(2)sets of._Enginee'red--Plans: <br /> ****PROPERTY:'SURVEY.required fo'r,all.NEW`onstruction. <br /> `Directionse. , <br /> Fill.but application completely. <br /> Owner&:Contractor:sign:back of application,notarized <br /> If over$2500,a Notice of Commencement-is required: (A/C 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 Senrice'Upgrades�A/C' Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways:needs"ROW. - <br />