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593-78U-UU2U City of Zephyrhills Permit Application rax uis-resu-uuz-i <br /> Building Department <br /> Date Received I � ��. ,.Phone•Cointa-eVorPormitting' -- <br /> Owner's Na me �� Cf /, �� Owner Phone Number <br /> Owner's Address J I S�• S[L Owner Phone Number � <br /> Fee SimpleiTitleholder Name' Owner Phone Number' <br /> Fee Simpley Titleholder Address J/ <br /> JOB ADDRESS 5 `3 ' � (f 5 c 5 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR'f v L ADD7ALT �]' SIGN = = DEMOLISH <br /> INSTALL Fl�/ REPAIR <br /> PROPOSED'USE 0 SFR = COMM = OTHER <br /> TYPE`OF CONSTRUCTION BLOCK d FRAME = STEEL 0 <br /> DESCRIPTION OF WORK Gt►( - R \ AGE / O (Our l k4 q <br /> BUILDIIdG'SIZELLLXSQ'FOOTAGE=. HEIGHT <br /> C-S;NUILDING $ /1 O� VALUATION'OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ l� `� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ ,� ��� 3�'V� �� • <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> DSO <br /> -.BUILDER COM)PAN <br /> S ATURE REGISTERED Y/ N FEE CURREP Y/'N <br /> PO rrgss -License.# <br /> E&�COMPANY Q h <br /> 81GPtATOP REGISTERED Y/ N FEE CURREN <br /> Address: License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED .Y/'N: FEE CURREN, L Y/N <br /> Address License <br /> '-...MECHAN:16AL­ COMPANY, <br /> SIGNATURE'' REGISTERED Y/ N FEE.CURREN <br /> Addr®ss'.- Lidense.# <br /> OTHER:_ :• COMPANY <br /> "'SIGNATURE:;-;is REGISTERED Y/.N FEE CURRE�' <br /> Address, - ,5 License# <br /> A&DENTIAI's :';Attach°'2, PlotiP:.lans3 2• s'ets`of=Bufld16 -Flans 1jIset`of Ener ,F";';R O-W Permit foc'new.constiupgpn <br /> (.), O. <br /> Minimum,ten�(;10.)working;days;aftersiitirriittal:date.'Requ'ired onsite Construction`Plans,'Storinwater Planswiw/Silt Fence installed, <br /> Sanitary,;Facilities;&,1+,dwmpster;Sife:;Work:Permit;forsubdivisions/large:proJects'::.:'- <br /> A'COMlI1fiERC1AL Attach'''{2)complete'sets of'Building Plans plus a Llfe 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 8.1 dumpster.Site Work Permit for all projects.All commercial requirements must meet compliance <br /> ..$lGN!,PERMIT AttaoFi'(27 sets;of;Engineered,Flans <br /> ""PROPERTY SURVEY.required.for.all,NEW construction: <br /> ---------------- <br /> Till':out'application completely. ; <br /> OwnerA Contractorsign:back of application,notarized <br /> If over'$2500;.a Notice,of:Commencement is required. (A/C upgrades over$7500) <br /> Agent'(for'tfie conVactor);or Powerof-Attomey(for"the owner)would'be someone with notarized letter from owner authorizing same <br /> ;'OYER,THE COUNTER PERMITTINQ,, ,.. . ..(copy_oUcwntract:required) <br /> ^:'�Is if sfiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public'roaduvays:needs ROW <br />