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813780-0020 City of Zephyrhills Permit Application F�$13-78�� <br /> Building Department <br /> � Date Received phone Contact for Pertnitting <br /> /� 1 <br /> Owner's Name � /"�� C.'e. f?rY U Lt!er � Owner Phone Number <br /> Owner's Address � � � ��n 2 33 Own�Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �I 1� �5 � �� Z /1 t'� h 1 ��S �I 3jJ�� LOT# � <br /> SUBDIVISION PARCEL ID# �`�- a�n-a I - Ob!U- Dd�QO- O !1 D <br /> (OBTAINED FROM PROPERN TAJ(NOTICE) <br /> WORK PROPOSED B NEW CONS7R� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ��1' '� YP_���� � r I�� L�-C ('� TTF � S 1 rl � <br /> BUILDING SIZE SQ FOOTAGE I�S HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ������ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � � ���� <br /> QGAS � ROOFING Q SPECIALN Q OTHER �y�a� <br /> FINISHED FLOOR ELEVATIONS , FLOOD ZONE AREA QYES NO <br /> '`—�+1 �,A e��/j — — •COMPANY• •LC?1�577'�C� '-� O. .�� `�" /'\- �/1� <br /> ,/�� J SIGNATURE G ! `— REGISTERED Y N FEECURRE� Y N `! <br /> 1 �/ I� t/ <br /> Address �5— f( � /n�(� ��/�License# �o�-�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREt� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTFRED Y/ N FEECURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllltlllllllllllllllltlllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisionsllarge pmjects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit 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 /> Ovmer&Contractor sign back of application,nolarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs'rfshingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />