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813-780.0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> I... _ T_n.Y_ <br /> Owner's Name MC-IL JC C Owner Phone Number <br /> Owner's Address 9 ^H . S'GTLC Oros I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address + <br /> JOB ADDRESS 1 ^^ tY�11�� �L LOT# <br /> SUBDIVISION Q�� PARCELlD# 'Orr pft" <br /> (OSTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 4 FRAME = STEEL = <br /> DESCRIPTION OF WORK `` Y1 \ e 6 <br /> BUILDING SIZE O 1 (5 SO FOOTAGE© HEIGHT <br /> BUILDING S Z) C)0.4 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W,R.E.C. <br /> =PLUMBING S �f <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER COMPANY -�eS <br /> SIGNATURE REGISTERED Y N FEE CURREp Y/N <br /> Address 33 License#I CA—Q <br /> ELECTRIC! COMPANYC- <br /> SIGNATURE REGISTERED Y N FEE CURREK Y/N <br /> Address a License# <br /> PLUMBER COMPANY <br /> SIGNATURE I Y/N I FEE CURREA <br /> Address License# <br /> MECHANICAL COMPANY ( — <br /> SIGNATURE REGISTERED YIN FEECURREn YIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/'N FEE CURREN LYLN <br /> Address License# <br /> tlllllllllltlllllllllllllltl9IIIIF11Oliiltllllllllllllllt9111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Requited onsite,Construction Plans,Stornwater Plans W Silt 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 onsite,Construction Plans,Stormwater Plans w/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 /> 114 <br /> . . . . . . . <br /> Direetions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A(C upgrades over$7500) <br /> '• Agent(tor the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on pubic madways..needs ROW <br />