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* e134e0-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department +�Q <br /> Date Received Phone contact for PermiHfn <br /> Ownef s Name 4.� L5 LUi Owner Phone Number /3" // O 0Z <br /> 69. <br /> Owner's Address 1 owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number, <br /> } <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / L.7/i ye. LOT# <br /> as Did©ors�oo <br /> SUSUBDIVISIONtON �N� �rL PARCEL iD# �� /960i' � <br /> 109TAMED FROM PROPERTY TAX NOTICE) ; <br /> WORK PROPOSED e NEW CONSr'R ADD/ALT �� SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER . <br /> TYPE OF CONSTRUCTION Q BLOCK <br /> = FRAME �� STEEL <br /> DESCRIPTION OF WORK � A c! ' e"/3 L.L dN �+ <br /> BUILDING SIZE .SR FOOTAGE HEIGHT ; <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> t <br /> =ELECTRICAL It—� AMP SERVICE Q PROGRESS ENERGY = W.R,E.C. <br /> 3 <br /> =PLUMBING <br /> MECHANICAL S <br /> j VALUATION OF MECHANICAL INSTALLATION a <br /> a q 5-, <br /> =CAS = ROOFING = SPECIALTY OTHER t <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> S <br /> BUILDER COMPANY <br /> SIGNATURE - REGISTERED Y/ N! N FEE CURREA <br /> Address License#F— f <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREh <br /> Address License# <br /> COMPANY <br /> PLUMBER <br /> SIGNATURE .REGISTERED, ,Y!N FEE cuRREn <br /> Address License# ,�(� <br /> MECHANICAL M p COMPANY <br /> SIGNATURE REGISTERED Y/N - FEE CURREP Y I Nr� <br /> Address PLJ License#i yr7�"QO L <br /> OTHER COMPANY j <br /> SIGNATURE REGISTERED I Y!N FEE CURRET, Y/N <br /> r <br /> Address Ucense# <br /> iitti1t111t11tlt1tillllt'IIIIIIIIIIIIIllll1111111111111111111111 � <br /> RES)DENTrl& Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forums;R-O-W Permit for new 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 Permit for subdnrisionsllarge 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 constriction. <br /> Minimum ten(10)workng days after submittal date. Required onsite,Construction Plans,Stommwater Plans wt,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 /> D)rectionS. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over 82500,a Notice of Commencement is required, (A/C upgrades over$7500) <br /> Agent(for the contractor)or Po f of Attorney(for the owner)would be someone with notarized,letter from owner authorizing same <br /> OVER THE C069MR PERMiTTINC, (copy of contract_required) <br /> Reroofs if shingles .Sewers Service Upgrades A/C'., Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br /> j. <br />