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8V-780_W20 City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> _y_r­F__" I I <br /> Owner's Name all Juli owner Phone Number <br /> H , r a <br /> Owner's Address15151 7#76-1- 1- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 15q3,4 /7-g, &t LOT# <br /> SUBDIVISION F PARC9LID4[J/ dIP 0010 Q+W0 01—;7)0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION r7 BLOCK = FRAME STEEL 7 <br /> DESCRIPTION OF WORK &S R 26-fo 5 <br /> 02 06IQW22 I <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . <br /> UILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =FLUMBING IS� MECHANICAL J$ 55q5, C70 VALUATION OF MECHANICAL INSTALLATION <br /> =co's = ROOFING r7 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIG REGISTERED I YIN FEE CURREh <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREh Y 1 N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N <br /> Address I License# <br /> MECHANICAL COMPANY e R rs N /6 Tn <br /> 1 w72!/w <br /> SIGNATURE REGISTERED I Y/ N PEE CURREI, I YIN <br /> Address F1—1 License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI, <br /> Address License#F_ <br /> Illtlltlllltllllllllllllllillllllllllllllltllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans-,(2)sets of Building Plans;(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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 /> . . . . . . . . . . . . wassa . . . . . . . . . . . . . . . . . . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrader.over$7500) <br /> Agent(for tfie-contractor)or Power of Attorney(for the owner)would be someone with notarized letter from Owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if snindles. Sewers- . Service Upgrades AIC Fences(Plot[Survey/Footage) <br /> Driveways-Not over Counter 0 on public roadways::needs ROW <br />