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813-780-0020 City of Zephyrhills Permit Application _yy<0- 7t)-) Fax-813-780-0D91 <br /> Building Department <br /> -Tkv <br /> Date R6celved U Phone Contact for Permitting <br /> .......... <br /> Owner's Name pbu Chi itb _"T(3 Owner Phone Number <br /> Owner's AddressVim' A�j CtV 7f Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V Mac dL!�_ UNIN I iS 4� LOT# 0 un <br /> SUBDIVISION 1-kiii4rv�ms- (IM PARCEL 11391b Q) -()"'5 0(3-6C)?,p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK wc�bnf' boi, UN-V (0 <br /> BUILDING SIZE SO FOOTAGE o HEIGHT <br /> 1 1 1 11"1-14 M I I I M i+1 8.1.11111111 "4+ <br /> =BUILDING 9 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> [PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ......... ...................... 141.1 H+HHHH! <br /> -7 <br /> BUILDER COMPANY <br /> LU <br /> SIGNATURE -REGISTERED N <br /> 1\!S -License - 65c <br /> Address FM C <br /> ELECTRICIAN. -COMPANY <br /> it <br /> SIGNATUR REGISTERED. FEE CURREN- <br /> Address Licensoi <br /> LU MBER COMPANY <br /> ;i`IGNATU Re_---] REGISTERED YT-W77- 'FEE CURREN <br /> Address License#f <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y4 N ­FEEcuRkErv- <br /> Address License J77 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED L-_Y=N FEE CURREN Y.1 N. <br /> Address- Ucense.# <br /> H1 I I I I I I i I H lt!� <br /> RESIDENTIAL Attach(2):.Plot Plans;.(2),,sets of-Buildingplans;,(1).set otEnergy,formis;R-O-W PermitJor new construction, - <br /> Minimurriied(I'O)world'no.diips'aft6r*i ubmi'ttaI ditie.'ReqUingd-onsite;Construction'Plaris,St6rmwaterPIanv.w1SIIt.Fence installed, <br /> Sanitary Facilities&1 dumpster;,Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life-Safety,Pag%(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worldng days after submittal date. Required.onsite,Construction Plans,Stormwater Plans*/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 /> ................... <br /> Directions: <br /> reCtl on I I <br /> s: <br /> Fill out 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 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 Sbwers Service Upgrades A/C Fences <br /> Drivewayi-Not over Counter if on public roadways..needs;ROW <br />