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2, <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813.780-0021 <br /> Building Department <br /> Date Recelvod ^` Phone Contactfor PormiWn �W <br /> tetttta. ttt1t <br /> Owners Name Owner Phone Number r ' r <br /> Owner's Address z 3/ A),tia InV5 Owner Phone Number ! <br /> Fee Slmplo Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 r LOT�c#� C� <br /> SUBDIVISION F PARCEL ID# 1 '6Q — <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR® ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER I F <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK r J <br /> BUILDING SIZE C� 1 SO FOOTAGE I HE►GtRT <br /> KKK'[KK'K-KSKt:KKCiKA-KK"KKKK'C itKKKCKKKK It.'K It,KKKKKtKKKKI <br /> =BUILDING 1$,!5 VALUATION OF TOTAL CONSTRUCTION e <br /> =ELECTRICAL +($—�� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY IT—r/-6 1�--^t- ,1_-__ �IIitC� <br /> SIGNATUREOef -REGISTERED I_._IN I FEE'CUR`RV I YINT— <br /> Address 3 303 License#Ci...t. — <br /> ELECTTRICIAN FCOMPANY I <br /> SIGNATURE REGISTERED YIN Y/N FEE CURREN LILN <br /> Address I License# <br /> PLUMBER COMPANY ((�� <br /> SIGNATURE REGISTERED Y I N FEECURREiu Ljj N i <br /> Address License tt 1 �i <br /> MECHANICAL I COMPANY = J <br /> SIGNATURE REGISTERED I Y/N FEE CURREN _Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE cURREN Y I NY!N <br /> Address License#I I <br /> LitttLititittttttttttttttitttttttttgIaa all ttttttt list tttltatitttgat <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Foam;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/$Of Fence Installed, <br /> Sanitary Facilities&t dumpster.Site Work Pennit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forts.R.O-W Permit for new construction. <br /> Minimum ten(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 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application.notarized <br /> It over$2300,a Notice of Commencement Is required.(AfO upgrades over$TSOo) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized feller from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades AIC Fences(PiotJSurvey/Footage) <br /> Driveways-Not over Counter iton public roadways-needs ROW <br />