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_ 813a80.0020 City of Zephyrhills Permit Applic 3-780-0021 <br /> Building Department <br /> Date Received 3` �� Phone Contact for Permittin DVP f ja,�( <br /> Owner's.Name (��^ Owner Phone Number G (113 <br /> Owner's Address , W=n Owner Phone Number <br /> Fee Simple Titleholder Name 1v 1 y'p Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �7 LOT# <br /> SUBDIVISION 5Ii era D mo7i PARCEL ID# �') Z i�Z "" �� v V <br /> (OBTAINED FROM PROPERTY TAX NOTICE( <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL Q] <br /> DESCRIPTION OF WORK16�,Ru9n S {Vt ter <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . ..XBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER t S. COMPANY <br /> SIGNATURE /j REGISTERED Y/ N FEE CURREN YIN j �7 <br /> Address Udale UCH '' License# Q 6'!/ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA LYLNLJ <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE 1 REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)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,Stormwaler 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 /> Directions: <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 /> Agent(for the contractor)or Power of Altomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <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 />