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Fy.s <br /> 513a50-0020 City of Zephyrhills Permit Application Fax-013-750-0021 <br /> Building Department <br /> Date Received Phone Contact for Parmittin <br /> TI'TT"tT <br /> Owners Name _ wlit- 4 Owner Phone Number 2S 1 9 2-��� <br /> , p <br /> Owner's Address S p Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number. <br /> Fee Simple Titleholder Address �"T <br /> JOB ADDRESS �J — �I 5 . 33S21Q LOT <br /> SUBDIVISION PARCEL <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN [� Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE = SFR = COMM IFJ- OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME 1 J STEEL = <br /> DESCRIPTION OF WORK r\ Z <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> t-t-tr-rre-rrtrr-r�-nTnrrr^rr-r-m�rrrri�"rrr�-rrr�-rrr�t-n-rn-r.f=r- <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> MECHANICAL g00 VALUATION OF MECHANICAL INSTALLATION <br /> V r <br /> =GAS = ROOFING Q SPECIALTY i._J OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> .i-.U-i-i-i-i-4-i-i-i-`-6-�-:-I-i-i-i-i-S.i-i.i-i•b-i-t-i-i�4-M.i=t..1-1-:t-F-i-i-i..i--4.f.+-f-�i.-:�-�-'-1-i-1-i..r�i-1-i..{-6-d-I�H�i,. <br /> BUILDER COMPANY - <br /> SIGNATURE ( REGISTERED I Y J N FEE CURREh 1.Y 1 N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y 1 N FEE CURREK LYLN <br /> Address F License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREt, Y/N <br /> Address /J•License# � <br /> MECHANICAL COMPANY �/�eC'2S�J"t�eS ®7` Pc4sco <br /> SIGNATURE j� / y REGISTERED Y/ N FEE CURREA Y/N �! <br /> Address 7 .( "Tw I r1lS 77.335 License# -/R� � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address F77 License#F_ <br /> iti / iititiiitliiittitltitt,[ tiittititllittlttiitiitlitiilttti / tiiiti <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,'Stormwater Plans w/Sill Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsits,Construction Plans,Stormwater Plans w/Sill 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 /> F-., I . .... <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required, (AIC upgradess over$7500) <br /> Agent(far the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades.A/C' Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..neads ROW <br />