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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> W Building Department <br /> Date Received 2- Phone Contact for Permitting <br /> JL <br /> Owner's J1 'Owner Phone Number <br /> Owner's Name T.>C'4:;t%t0 <br /> Owner's Address 1602.4 014" 14- 7 LS:� I I <br /> ,p_pkUyk.J: S%S Owner Phone Number <br /> Fee Simple Titleholder Name F_ Owner Phone Number <br /> Fee Simple Titleholder Address tt <br /> JOB ADDRESS ct4 LOT 9 <br /> SUBDIVISION PARCELID#1 11'2&'24 ' 0010 -2.a0Q— 011D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ' ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK bo"mo M 0JdAA;-k*&I . Y"Iac'eirimtn�_ or, <br /> BUILDING SIZE I cly- lo So FOOTAGEFT01 I HEIGHT I I <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> J — — <br /> I V]BUILDING i, VALUATION OF TOTAL CONSTRUCTION <br /> [E/rELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 0 E:TPLUMBING $ J0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 4-46414-4- <br /> COMPANY 44e'wns jRarr;, <br /> /1 !,j <br /> SIGNATURE REGISTERED 4)2 N I FEE CURREN <br /> 04 - <br /> Pt <br /> Address License# F6& (-z_s-sqfao <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED L_YI_N_j FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN �N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Yr/ N FEE CURREN LYLN J <br /> Address License# <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 ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> -Sanitary Facilities&1 dumpster,Site Work Permit for 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 Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attacfi(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ire, <br /> J\Di'irectlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A1C 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 /> R THE COUNTER PERMITTING (copy6f contract required) <br /> \ofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> riveways-Not over Counter if on public roadways..needs ROW <br />