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513-750-0020 City of Zephyrhills Permit Application Fax-613-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permittingg 11-7 p - ("1 U <br /> 1 1 1 1 1 t i t 1rV� ,/ vt 1 1 1 1 1 <br /> Owner's Name ''^^l1 11 U S p /r -r 1 n Owner Phone Number <br /> Owner's Address W S i lyr av, I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /) ( n <br /> JOB ADDRESS yZcphy 1 NIIS a35 LOT# <br /> ,` v LJ <br /> SUBDIVISION Ivey �ARCEL ID# 01 ��I-v�r-�/-lnJwO.d2t)b 71 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONST$.� ADD/ALT 0 SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK <br /> Q FRAME STEEL <br /> DESCRIPTION OF WORK u l ���u/v��� (S��O 1 'r ' -14�✓• <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 16�BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ "(0 V AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION rk v l <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �J ( COMPANY <br /> SIGNATURE /� REGISTERED Y/ N' FEE CUR/R�EA��/I Y/N (ice <br /> Address 1 /0 D?nA gf, � License# l Jri b 1��a!iLQ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA ' Ly/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N' FEE WiiREn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK Y/N <br /> Address License.# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK Y/N <br /> Address License# <br /> 1111111111111111111111111111. 111111111111111111111111111111111111111 <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 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 /> Drrectlons: <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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <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 />