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013-78"020 City of Zephyrhills Permit Application Fax-813ae0-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ® ) <br /> Owner's Namo ++��//,0�',,, Owner Phone Number O 1 <br /> Owner's Address ✓` Owner Phone Number <br /> Fee Simple Titleholder Name Owner.Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR 8 ADDIALT = SIGN = Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME [ STEEL [] 1 <br /> DESCRIPTION OF WORK i w VI I C I GX��F <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING o�$ r1 gon VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ / <br /> [-_—]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO n /���Ju/✓� <br /> =GAS = ROOFING 0 SPECIALTY Did OTHER <br /> 1l V LlT (/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY l/W <br /> SIGNATURE REGISTERED r1r7 FEECURRE1 YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREA I YIN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREA LjLN <br /> Address Licens # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREA I YiN <br /> Address tJcense# <br /> illllllllllliirllllt111lIiltl { t11 { 1 { 11111 [ IIIIt1111111I111t1111111I <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 data. Required onsite,Construction Plans,Stormwater Plans w!Sill Fence installed, <br /> Sanitary Facilities&1 dumpsler;Site Work Permit for subdivisionsAarga 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 now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormvraler Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now 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 /> Directions: <br /> All out application completely. <br /> Owner&Contractor sign back 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 ovner)Y.Wd be someone with notarized letter from a.-Mar authorizing same <br /> OVER THE COUNTERPERiAITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A!C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />