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0111-fou-IJUzu City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Dato Recelve)d <br /> Phone Contact for Permitting F,ss <br /> ........7...... .66"41" ...... .......... ...... <br /> Owner's Name Aap <br /> Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F3 q ....... LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK <br /> `BUILDINGI,SIZE SQ FOOTAGE L HEIGHT C� <br /> L <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION' <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> :1 <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER, COMPANY <br /> SIGNATURE REGISTERED 1. Y/ N FEE CURREN <br /> Address License# F_7 <br /> ELECTRICIAN COMPANY <br /> "SIGNATURE J REGISTERED 14Y)/ N FEE CURREN- <br /> Addres's <br /> SO/ License#,l C_1L_,/11&70 7EQ-3i <br /> PLUMBER,' COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE'CUAREN <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_y W_J FEE CURREN <br /> Address.- License# <br /> ..OTHER;-. : COMPANY <br /> SIGNATURE- REGISTERED Y/ N L_YIN_j <br /> .Address License# F__ <br /> ........... <br /> Ma6h.(2�'Ptoit PI ns;(2)Sets,of Building Plaris;,(1.).set of Energy.Forms;R'O�.W Permit 11brne*- <br /> I . ­ -0 - construction, <br /> MlhImumtdfi-(10)wdrkin§days after sub miltta[datd., Required drisite,Consitructiob Plans;-Stormwafter'Plans.,W/Sliffence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisio'ns/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,$tormwater Plans w/Silt F" c6 installed, <br /> Fence <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2),iets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> .......... ........ <br /> -------- --- ---------Direct ioinssr:! <br /> Fill out application completely. <br /> OWnet&Cbritractor-signiz.b ack of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER1HE.COUNTER PERMITTING (copy of contract required) <br /> RerdblS if-shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> .Driveways-Not over Counter if on public roadways..needs ROW <br />