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01.3-f OU-UUZU City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner Phone Number <br /> Owner's Name <br /> Owner's Address 61rclv, _wmvv7 4Owner 'Phone Number <br /> Fee Simple7itleholder Name Owner Phone Number <br /> Fee SimpI6111:19holder Address <br /> JOB ADDRESS F LOT <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> R INSTALL, REPAIR <br /> PROPOSED USE = SFR Q Comm 0 OTT <br /> TYPE OF CONSTRUCTION 0,5 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F ISQ FOOTAGE HEIGHT <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =FiLECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =9AS = ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS a7. FLOOD ZONE AREA =YES XO'__� <br /> II i w N i a N I i i I i 2 i a N a I a i N i i i I i i I v 2 1 i v 8 i i i 2 i v v i 1 111 1 1 1 1 1 1111 l i 1H!1 1 111 1,HH.111!!!!H!lHIIIIIHIH.1 i I I HHH H <br /> BUILDER, COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> A rp'dd ss License# <br /> 'ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREh- Y/N <br /> License# <br /> Address <br /> PLUMBER,* COMPANY <br /> SIGNATURE REGISTERED Y N' ,' FEE:CUAREN- <br /> Addrq'ss, License# <br /> MECHANICAL COMPANY —T 777 <br /> SIGNATURE REGISTERED YJ N I FEE CURREN L-Y. /N J <br /> Address- license# F <br /> .OTHER -COMPANY -r—- �Ln, I VIA <br /> SIGNATURE cll -K � REGISTERED . Y N FEE CURRER. <br /> LILN_j <br /> Address �Co\som Qc� License# E2 <br /> ............ <br /> .:RESIDENTIAL- Attach:(2)FIot Pjansj.�(2)setpof Building Plans;*,(11)set of Energy.Forms;R-O'-W-Permit for new.Construction,, <br /> Mir.ii.mum 1:66'(10)•woiklngldayi after Submittal date.* Required onsite,Construction Plans,.Stormwateriftris.1W Slit-Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivislorisfiarge 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 now construction. <br /> Minimum ten(10)working days"after submittal date....'Requifed onsite,Construction Plans,Stormwater Plans w/$ht Fence installed, <br /> Sanitary.Facilifles&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERT-.Y;SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor,signback of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(forthe contractor):or Power of Afforney'(for the owner)would be someone with notarized letter from owner authorizing same <br /> OV,EkTHE..COUNTER PERMITTING (copy of contract required) <br /> Retb6fs if-shingles Sewers Service Upgrades AIC Fences(Plot/SurVey/Footage) <br /> Driveways-Not over Counter if on public roadwpys..needs ROW <br />