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813-780-0020 City of Zephyrhills Permit Application Fax-s13-78U-UUZ1 <br /> Building Department <br /> Date Received phone Contact{for Permitting" <br /> Owner's Name 4 -P Owner Phone Number To": <br /> Owner's Address Owner Phone Number <br /> Fee SimplelTitleholder Name Owner,Ph'ons Number- <br /> Fee Simple7itlehoider Address <br /> JOB ADDRESS !j om LQ LOT# <br /> SUBDIVISION PARCEL <br /> C�2 J��'�I -04 j�- <br /> { (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR'e ADWALT Q SIGN Q = DEMOLISH <br /> INSTALL ,REPAIR <br /> PROI?OSED;USE = SFR = '`COMM = OTHER <br /> TYPE`OF CONSTRUCTION 0', 'BLOCK 0 ''FRAME _. STEEL Q... <br /> ' `I 6 <br /> DESCRIPTION OF WORK Y' e`e 50 ' � T � a-- <br /> i <br /> BUILDING'SIZE SO--FOOTAGE=• HEIGHT •. <br /> =B,UILDING $ VALUATION' <br /> OF TOTAL CONSTRUC ION <br /> ELECTRICAL $ AMP SERVICE 156 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> i <br /> � v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0; ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HFH i iiaiiii oil Nis lHHH-Bill 111 1H'H'III <br /> :BUILDER COMPANY' <br /> SIGNATURE REGISTERED Y"/ N' FEE CURREN <br /> Address 'License# <br /> `ELECTRi,CIAN /�J /JC� 1 :COMPANY . Ll.U1.P vv l <br /> -,,,SIGNATURE / REGISTERED Y/ N FEE CURREN <br /> Address` t' License:# ld <br /> eC Od 6_?_6 <br /> PLUMBER.f COMPANY ,.. . <br /> SIGNATURE REGISTERED Y/ N.'' FEE CURREN Y/N <br /> Address License <br /> >:MECHANICAL' COMPANY <br /> •SIGNATURE'" '.' REGISTERED Y/�N FEE CURREN. <br /> Address;r.-:'; License.# <br /> OTHER;.::-:,t .:,. .:: COMPANY <br /> <., . <br /> Y/.N FEECURRENREGISTERED N <br /> Address,,:. - :. ,,•s; .;.I License'# <br /> PRESIDENTIAL:;:; (Attach(2)Plot:P-,;lansr(2)5ets.of Buil'dingFlans (1)`set of Energy;Forms;R,OVII Peririitfor new,construction; <br /> +e;::r., :,;Minimumrten'1:0,.5workin;;ila/r after subFtiitfal date­==Required"onsite;'Coristniction'Plans StormwaterPlans Wt Slit Fence installed; <br /> Sarii4ary Facilities,&,11,dumpster;aSife Work Permit for.subdivisions/I;�rgeproJectsw..= ' <br /> `'COMMERCIAL Attach(2)tcom'plete'sets'of'Biiilding'Plans plus a­Life Safety Page;(1)set of Energy Forms.R-O-W Permit fornew 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 P®rmit forall`new:projects.All commercial requirements must meet compliance <br /> `SIGN,PERMIT AttacFi(��'sets of Engineered Plans:c..:.°•< . - <br /> ..,,r ""PROPERTY SURVEY.required for.ajI,NEW-construction:... <br /> >Fil6:out�application completely. <br /> Owner,&Contractor:sign backof application,notarized <br /> If over:$2500;-a Notice.of:Commencement is required. (A/C upgrades over$7500) <br /> Agent:(for`tFie.contractor)-orzPower of,Attomey(for"the owner)would`lie someone with notarized letter from owner authorizing same <br /> '!OVER::THE 000NT_ER PERMITTING-- ;(copy of contractrequired) <br /> 'R6roofs:ifafiingles Sewers Service Upgrades A/C Fences'(Plot/Survey/Footage) <br /> :Driveways-Not over Counter if on public roadways.`needs ROW <br />