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0.,I11_f?ju_uuZu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 9 — 49 — Phone Contact for Permitting E:7 a-7 0-3 <br /> =Owner's Name ktv� Owner Phone Number <br /> Owner's Addressl J9.55(4 CA Ss-uih 'Ave- 1 Owner Phone Number <br /> Fee Simple'.Titleholder Name Owner Phone Number <br /> Fee Simp][61itleholder Address <br /> JOB ADDRESS sso_ LOT# <br /> SUBDIVIS16N PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL L_j REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION - O,s BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK -2, <br /> BUILDING SIZE SO FOOTAGE 14EIGHT <br /> - : <br /> i i v i i 2 v i I i N <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMPSERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ C)1 VALUATION OF MECHANICAL INSTALLATION L4 C) <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA. =YES NO <br /> BUILDER i COMPANY <br /> SIGNATURE REGISTERED Y/*N FEE CURREN LYLNLj <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN- LILN <br /> _j <br /> Addre ss License# F <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License'#'F <br /> ll eeA <br /> CAL MECHANI COMPANY /A <br /> SIGNATURE REGISTERED YJ N FEE CURREN Y/N— <br /> Address 3 C_. �-tk. <br /> License# I CAA 1?1 <br /> OTHER. 'COMPANY <br /> SIGNATURE REGISTERED . Y/ N FEE CURREN <br /> Address License# F_ <br /> I I H 11,1 fi+ <br /> RESIDENTIAL Attach..(2)-PIqt Plans;(2)Sets of Building Plans,,.(1).set of Energy Forms;R-O-W-0ermit"forneW.construction, <br /> Minimum t 6..(l 0)'wdrking days after submittal date. Require.d drIsiti,Constructlon-Plans,Stormwaterftns.wt Sliffence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisio'nsfiarge 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 tan(10)working days after submittal date...Requir6d,onsite,Construction Plans,-ftrmwater Plans w/Slit Fenc <br /> e installed, <br /> SanItary.Facilities&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 /> ""PROPERTY SURVEY required for all NEW,construction. <br /> Fill out application completely. <br /> Owner&'Contreictor-signtick of application,notarized <br /> if over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for'the contractor),or Power of Aftomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVERTHE COUNTER PERMITTING (copy of contract required) <br /> Retdbfs If-shingles Sewers Service Upgrades A/C Fences(Plot/SuiVey/Footage) <br /> .Driveways-Not over Counter if on public roadv.-Ays..needs ROW, <br />