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o'IJ-f0U-UUZU City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> qI I ...I.......... ................ <br /> Owner's Name teg 7�� 'CC" Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple'Titleholdiff Name Owner Phone Number <br /> Fee Simple';Titleholder Address <br /> JOB ADDRESS <br /> LOT# C� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> -BUILDINGAIZE SQ FOOTAGE1= HEIGHT <br /> @@@BONN L14 14-1.1 L <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I I 111111 1111111 111 1 1 1+......... <br /> V <br /> BUILDER COMPANY me,, VV\I vyL <br /> SIGNATURE REGISTERED FEE CURREN LLY/N J <br /> Addrdss License# U?/ 12-S <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED Y/ N FEE CURREN' Y/N <br /> Address License#1 <br /> PLUMBER:. COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREN <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_X./ N_J FEE CURREN L_Y/N_j <br /> Address, License# <br /> OTMER, COMPANY <br /> _ <br /> SIGNATURE. REGISTERED Y/ N�j FEE CURREN <br /> Address License# F_ <br /> ...................... <br /> Attach-,(?),riot.Plans-,(2)Sets of Building Plans;.(1)set of.Energy Forms;,WOfW Permit for new.Construction <br /> Minimum tbri'(l 0)working days after s6bmlttal'date: Required onslie,Constructloh Plans,Stormwater Plins­w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdIvIslonsfiarge 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'submiffal'date. Required onsite,Construction Plans,$tormwater Plans w/Sllt Fence-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&Contractor.signback 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 Attorney-(for the owner)would be someone with notarized letter from owner authorizing same <br /> 0 VE-R I�THE.COUNTER PERMITTING (copy of contract required) <br /> Retdbfs:if.shingles "Sewers Service Upgrades A/C , Fences(PlottSurVey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />