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01.3-f au-UUZU City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department 0 <br /> Date Received Phone Contact for Permitting F( <br /> ImROZA= ...........f"rr7TTTTrr1 ..................... .............. <br /> Owner's Name C to 7jea- Pc-tTG Owner Pion Nu or 1362 vt 2-1 <br /> q Y)ra <br /> Owner's Address G 019 kk&7— tdd y Owner Phan:Numb <br /> Fee Simple•Titleholder Name Owner Phone Number <br /> Fee Simpli1itleholder Address <br /> JOB ADDRESS 012K&L-5rWIL U P�r A 14 ft 0 FZ,3 36 V 21 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED. NEW CONSTR ADDIALT SIGN Q 0 DEMOLISH <br /> e INSTALL M REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION s BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK—�4 rict;i" PC Ck CU4 t-4 so <br /> -BUILDINGtSIZE SO FOOTAGE I Jc) 6 _J HEIGHT F_ <br /> C9 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ ie9C)C) I AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> 7 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING- 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS rr FLOOD ZONE AREA =YES NO <br /> i i v i v i i i 2 N i i v v i i i 2 s 6 ff <br /> BUILDER! COMPANY <br /> SIGNATUREC� REGISTERED I Y/'N FEE CURREN <br /> Address <br /> License# F— <br /> ELECTRICIAN <br /> COMPANY ezdn&IL-_ <br /> "SIGNATuR*E REGISTERED FEE CURREN; <br /> Address License# <br /> PLUMBER! COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY, <br /> SIGNATURE REGISTERED YJ N I FEE CURREN <br /> Address License# <br /> ,OTHER_-- -COMPANY <br /> SIGNATURE REGISTERED _Y/ N FEE CURREN. L_yl N_J <br /> .Address F License# <br /> F <br /> ............ <br /> ............ III mi'H!H H!!I I! HHH HHHH I I I!!!HHHH I-H HHHHH+H'-.iHIIIHNl I <br /> _*66ENTIAL Building Plans;.(I).set-of Energy,Fqrms;R-O-W.Permit foe'new-construcUon,, <br /> Minimum'ten'(1 0)+workl+fi6 Aays after s dbmittaild6te. Required onsite,Construction Plans,Stormwater�Plans.w(,Sllt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisi6ns/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 now construction, <br /> Minimum*ten(10)working days after submittal'date..Required onsite,Construction Plans,$tormwater Plans wl Slit Fence installed, <br /> . . 9 <br /> Sanitary-Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet oompliance <br /> SIGN PERMIT Attach(2)-Sets of,Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> W!'Will 111114444;R111 sIIIIIII ............ <br /> Fill out application completely. <br /> Owner.&Contractor signback of application,notarized <br /> If-over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agentffor the contractor)or Power of Attorney-(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVEkTHECOUNTER PERMITTING . (copy.of contract required) <br /> -.R4661sff-shingles Sewers Service yoori&s A/C, Fences(PlottSurVey/Footage) <br /> .Driveways-Not over Counter if on public roadways..needs ROW <br />