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0'1a_f0u_uuZu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 0 <br /> Date'Recelved Phone Contact for Permitting <br /> ....... ................ ...... <br /> Owner's Name Owner Phone Number 19 13 2/.5: / <br /> Owner's Address t—.4 Me I/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpliii1itleholder Address <br /> JOB ADDRESS A) 0 Al LOT <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONsTRR AD" DIALT SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR' Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK IRoal-:7 ove-g <br /> -BUILDINGS,ZE F SCI FOOTAGE= HEIGHT A l 1 1.1 1 <br /> BUILDING $ C) VALUATION OF TOTAL CONSTRUC <br /> TION <br /> CTION* <br /> ELECTRICAL SERVICE AMP$ PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING C„_.. <br /> At f- m-Lk' <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS <br /> ROOFING- SPECIALTY OTHER <br /> FINISHED I FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ............... ................... ........... <br /> BUILDER, COMPANY L�Olf�e 0 <br /> SIGNATURE _J REGISTERED Y/ N , FEE CURREI% <br /> Address F License <br /> ELECTRICIAN <br /> COMPANY <br /> 'SIGNATURE REGISTERED I_Y/ N I FEE CURRAh- Y=N <br /> Address F License#F <br /> PLUMBER!, COMPANY <br /> SIGNATURE REGISTERED Y/ N, FEE'CURREh <br /> Address Licensb'# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED I .Y/ N I FEE CURREh LY2 N_L] <br /> Address License# <br /> ,.OTHER, COMPANY <br /> SIGNATURE REGISTERED Y/ N .�FEECURREI% L_KLN <br /> Address License# <br /> RESIDENTIAL Atiaiih,(2),`Plot-Plans;(2)selsof Building Plans;,(I),set of.Energy Forms;R-6-W Permit"for new"oomtnictiom. <br /> ' )w6rking:dayi after SdbmlttalAate. Required drisite,Construction Plans,S t-ormwater:Plans Wl I Slit Fence installed, <br /> Minimum tdri-(10 <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisidnsfiarge 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 tan(10)working days after submittal date.. Required onsite,Construction Plans,Stormwater Plans w/$lit Fence installed, <br /> Sarillary.Facilitles&I-dumpster.Site Work Permit for all new projects.All commercial requirements utrements must meet compliance <br /> SIGN PERMIT Attach(2)Sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 1............. ........ 111111 11111114-1- <br /> Fill out application completely. <br /> Owner&Contraclbrsjgn�b ack 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 Afforney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE: PERMITTING (copy of contract required) <br /> -Retbbft"If-shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> .Driveways-Not over Counter if on public roadways..needs ROW <br />