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I <br /> 813-78MD20 City of Zephyrhills Permit Application Fa"13-78D-DD21 <br /> Building Department <br /> - I <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name /"(�f! 6i-�{/ Owner Phone Number <br /> Owner's Address A Z V A_ vt, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �( � <br /> JOB ADDRESS 412 ., ( -,L✓/I r ry `' S+� LOT# I--«—� <br /> SUBDIVISION / O PARCEL ID# OY—Ve —Z f`�7r/ 'r001W—001� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> I <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> I <br /> DESCRIPTION OF WORK ��' i7 �' /. / <br /> Lee <br /> BUILDING SIZE 3Q FOOTAGE HEIGHT <br /> =BUILDING $ / VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ / <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 t <br /> I <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDERF7 <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N <br /> I <br /> Address License# <br /> ELECTRICIAN F ! COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREIN I Y/N <br /> Address License It <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY , <br /> SIGNATURE REGISTERED Y FEE C RREIN I Y/N <br /> e <br /> Address License# / / <br /> IIIIrI111111111111111I1 ( 111 ,IIIIIIIIIIIIIIII1111111;11111111;11111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Build 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/Sift Fence installed, <br /> Sanitary Facilities&1 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 Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater 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 /> Direct] ITS: <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 upgrades over$7500) <br /> i <br /> Agent(for the contractor)or Power cf Attomey(for the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (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 /> II <br /> I <br />