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813a80-0020 City of Zephyrhills Permit Application Fax-a13-78o-oo21 <br /> Building Department <br /> f 11 <br /> Date Received Phone Contact for PermittingI � Ic Q <br /> — <br /> miss I <br /> Owners Name I\ G Owner Phone Number <br /> Owner's Address 3EM710 ►JCrI A3 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 LOT# <br /> SUBDIVISION PARCEL ID# 1' O! <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW <br /> CONsTR= REPAIRT = SIGN = = DEMOLISH <br /> INSTALL PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q_ BLOCK Q FRAME = STEEL <br /> cX = <br /> DESCRIPTION OF WORK .� O VP� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ /1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ V r AMP SERVICE Q PROGRESS ENERGY Q W.FLE.C. <br /> =PLUMBING $ '(� ��v, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V ��" V/ <br /> =GAS' = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER . 6 COMPANY <br /> SIGNATURE l REGIsrERED Y N FEE CURRFN &MY N <br /> i <br /> Address I SqW Ggli x3 ` salas I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN Y!N <br /> Address i License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREn I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRa <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRa Y/N <br /> Address 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)wonting days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL. Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 /> Directions: <br /> Fill <br /> out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A1C 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 (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 />