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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received C) to <br /> Phone Contact for Permitting i i i I 4r <br /> ............... ................ ............. a.1, .......Owner's Name &f�,n I Owner Phone Number <br /> Owner's Address P� `�3qo AVC,1f41LAo\,(\k<,- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> F73 <br /> JOB ADDRESS A\Ifnoc 'rjoD�wv)Av�_fl LOT# <br /> SUBDIVISION PARCEL ID# 7/6-I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION- Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE $0 FOOTAGE HEIGHT <br /> I I 111 11114 <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> ]PLUMBING 1$ <br /> I q q1 !�� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS ROOFING F__1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA '=YES' NO <br /> 11111111 114+H+H+14+ 141111 HHHHHHHHHHH ................1+11+11,1 H-H III--I H-H I I I I I I I <br /> BUILDER COMPANY hn <br /> SIGNATURE REGISTERED 1-Nfr <br /> — ? <br /> Address (Aqq� 010m Wd VbLn Ats-033.""lk License# FLT7 Os 1 <br /> ELECTRIC" , COMPANY <br /> SIGNATURE' REGISTERED FEE CURREN LILN J <br /> Address Licens6i <br /> PLUMBER -COMPANY <br /> REGISTERED :-N 'FEE.CURREN <br /> Address License Of <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1, Y1 N FEE CURREN <br /> Address License#F <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YVN,,l FEE CURREN <br /> Address License.# L1,NL] <br /> 1 111111 1 1!.1 1 H*1 11 1111141:1,11111 Ill Hill Hl HHHHHHH H.! I I I I I I I I I I I I I I I I I I <br /> RESIDENTIAL Attach,'(2)!Plot Plans;(2)sets of Building;Plans;(1)set of-Energy Forms;.R-OmW,Permit4or new•construction,. <br /> Minimum ted(,10)worklhg`d6ys"after subm-ittal date.''Re'q6ir6d-onsite,'Construction Plans,Stormwater Plansiw/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 hate: Required.onsite,Construction Plans,Stormwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&I 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 /> D4ti=.41 <br /> I <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,.notarized <br /> If over$2600,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 Sbwers Service-Upgrades A/C Fences(Plot(Survey/Footage) <br /> Drivewayi-Not over Counter if on public roadways..needs ROW <br />