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0'J11_f0U_UUZU City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> DatiRecelved 9-2-048 Phone Contact for P;ermittinR. <br /> ........... 3= <br /> Owner's Name HeLi-j..'r 4 Owner Phone Number <br /> Owner's Address[Y7e,?-? Owner Phone N .2.6c —0?,z'r <br /> 10 kie-17-:V- I or " q I <br /> Nu <br /> 01 <br /> Fee Simple•Titleholder Name Owner Phone Number <br /> Fee Simple1itleholder Address <br /> JOB ADDRESS -F_,374,:?3 .&tle LOT# <br /> SUBDIVISION &.0-1'r-045 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR fi <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK ma s 7t <br /> -BUILDING!,S ZE SQ FOOTAGE HEIGHT F <br /> 1 1 1 1 1 1 2 2 114 144-4- <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.$ <br /> =PLUMBING $ <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION 2,0 3 0 <br /> ti <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER irOMPANY <br /> SIGNATURE REGISTERED Y/ N'; I FEE CURREN LYLN J <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Add S License# <br /> Address r <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED Ln_N_J FEE CURREN <br /> Address I License# I— <br /> MECHANICAL: COMPANY <br /> SIGNATURE REGISTERED L_Y/ N_J FEE CURREN <br /> Address License# [ <br /> OTHER...: :' COMPANY, <br /> SIGNATURE, REGISTERED Y/ N FEE CURREN L_y L N License# F_ <br /> 'RESIDENTIAL Attach.(2)PIot•PlanSif2)Seip.of Building Plans;.(I)-set of,Energy Forms;R-07W P'erinit,foe.fiew,'oonstructon,,, <br /> Mifil'Mumtiff(lo�Wdrkind'daysaki§rs'u*bmittal'datLi; ReqUiredonall-te,Conitrucflon Plansc SIormv4t&Plans..w1',Sllt Fence in I stalled, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsfiarge projects <br /> "COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pen-nit for new construction. <br /> Minimum,ton(10)working days after submittal date...Required onsite,Construction Plans,Stohnwater Plans w/Silt Fdhc'e installed, <br /> Sanitary.Facilides&Idumpster.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 /> .......... <br /> ID I=ri 6eei,=s: <br /> Fill,out application completely. <br /> Owner&Contractor.sign..back of application,notarized <br /> Ifover$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agentffor'the contractor).or Power of Attorney-(for the owner)would be someone with notarized letter from owner authorizing same <br /> 0 VE111HE COUNTER PERMITTING (copy of contract required) <br /> Ret6bl's'llf-shingles Sewers Service.Upgrades A/C; .Fences(PlottSurVey/Footage) <br /> .Driveways-Not over Counter if on public roadways..needi ROW <br />