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City of Zephyrhills Permit Application Fax-813-78"021 <br /> Builcling Department <br /> _�-te Received Phone Contact for Permitting 056=I <br /> Owners Name WhIIADL IP-00-L VLnf%.>rJL'S Ownw-PhorreNtobir <br /> Owner's Address L431 Co U-) %-.n PgArp Sf owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address F_ <br /> JOB ADDRESS 2 I D S LOTW <br /> SUBDIVISION 12eph(4 Q-0, PARCEL IDS[Q 4 -2-6-2.1 - 019 0-00000-N Uhl <br /> (ORTAUM PROW PROPEWY TAIC NOTICE) <br /> WORK PROPOSED NEW CONS ADDIALT SIGN DEMOLISH <br /> INSTALL TRR REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME Q STEEL 11CO -)C)OL�Q .1 <br /> DESCRIPTION OF WORK )u� I SiN FC Qyorl� Ot. r _nQ1LO Q1 m-h, L6 t Su Z-1 3,50. 1 <br /> 13UILDING SUE SO FOOTAGE HEIGHT <br /> Eau. . . . . . . . . . . . . . . . . . . . .. . . . . <br /> ILDING FS 7 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING Is <br /> =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS UQ ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS J_ FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . .a <br /> BUILDER COMPANY <br /> SIGNATURE REWSTERED I YJN FEE CURPEN <br /> Address I U.#I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE i REGISTERED I YIN I FEE CIRREI, Ly N <br /> Add— License# <br /> PLUMBER COMPANY <br /> SIGNATURE REWTERED I Y/ N FEECUMMI, <br /> Address License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE PX-GISTIMED I YIN I FEECIJWWJt Ly <br /> L N_J <br /> Address License#F— <br /> OTHER COMPANY SM 0_00 <br /> SIGNATURE FIEGOMPED YJ N I FEEcuRm I YIN <br /> -7 Add. ITO E M 211(.2. a!)�M V) I License# <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)waking days after submittal date. Required onsite,Construction Plans,Stormwater Plans%Ad Slit Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(a)complete sets of Building Mans 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&I dumpster.Site Wok 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 /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> H over$2500,a Notice of Commencement Is required. (AfC upgrades over$751110) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Perools if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footaga) <br /> Driveways-Not over Counter it on public roadways..needs ROW <br />