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813-780e020 ' City of Zephyrhills re[0lu^+ppouuuuu � <br /> Building Department <br /> Date Received .....Ph.one.Contact for Permitting— <br /> Owner's Address <br /> Owner Phone Number <br /> Fee Simple Titleholder Namel Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT <br /> SuuvwISoOm ,~=~E^.~_ <br /> (OBTAINED FROM PROPERTY TAX"".~E� <br /> WORK PROPOSED NEW CO |GTR ADDA\LT [--1 SIGN [--1 MOVE F—1 DEMOLISH. <br /> R INSTALL � 1 REPAIR <br /> PROPOSED USE* �—� SFR �--l � -COMM F--| OTHER <br /> TYPE OF CONSTRUCTION [--� BL0CK �--] FRAME �--1 STEEL [--1 OTHER <br /> DESCRIPTION OF WORK Zoo <br /> BUILDING SIZE F_ SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE 1-��ENERGY W.R.E.C. <br /> PLUMBING <br /> F--1 MECHANICAL VALUATION Or MECHANICAL INSTALLATION <br /> �--1 � F--1 ROOFING F--1 SPECIALTY OTHERoTMER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [--lYEG =NOBUIL DER COMPANY <br /> SIGNATURE REGISTERED L��N FEE CURRENT Y/N <br /> Address License# <br /> SIGNAT-URip <br /> ELECTRIIAN Co <br /> REGISTERED Y/ N FEE CURRENT <br /> License# <br /> pLUM13!Em COMPANY <br /> SIGNATURE nsGIorsneo rs�cunnewr � <br /> —___—_- ___--_' <br /> Address Ununaa# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURRENT <br /> Address � � � � � <br /> OTHER COMPANY <br /> SIGNATURE nsmSTsnso _Y/_N_1 FEE CURRENT L'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)working <br /> fter submittal,date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> ' OanKaryFod/iUes&1d mps- Site Work Permit for mudivixions0a. aprojects <br /> COMMERCIAL Attach(3)complete sets u[Building Plans plusa Life Safety Page;(1)set of Energy Forms.RFO-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities m1Uumpat6rSite Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(a)sets of Engineered Plans. <br /> ^°*°PROPERTY SURVEY required for all NEW construction.Fill out application completely. <br /> Owner&Conhado.r sign back pf application,notarized <br /> m over$u5ou.a Notice oy Commencement isrequired. (uo upgrades over*auou) <br /> � Agent(fxthonunhoutor)orPovero[ANumey(fbrUheovwner)wmuldbesomnnnawdUhnotodzed|ottorhomovnoreuWhohzinQsoma <br /> OVER <br /> *amufs Sewers y�w Fence <br /> Driveways-Not over C <br /> ' <br /> ` <br />