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i <br /> >' <br /> 8l3a80-0620 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ Phone Contact for Permliting — <br /> sr- r111- <br /> Owners Name Owner Phone Number <br /> Ownees'AddressIN5b It. 1�),Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS rl LOT d <br /> f <br /> SUBDIVISION PARCEL IDd. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = = DEMOLISH <br /> e INSTALL B EPAI <br /> PROPOSED USE = SFR 0 CO:fl OTHER <br /> TYPE DECONSTRUCTION Q BLOCK STEEL <br /> DESCRIPTION OF WORKT <br /> BUILDING SIZE SO FOOTAGE HEIGHT. <br /> =BUILDING $phi <br /> 6ry VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.,R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING C] SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER CORIPANY RV�CeS t1G <br /> SIGNATURE- REGISTERED I YIN FEE CURREn I Y I N <br /> Address 4b�14-A ptuj Ucensed WG tup <br /> ELECTRICIAN ) C614PANY RV TP G <br /> SIGNATURE YIN FEE CURREn I Y/N <br /> Address License d <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECVRRE.\ I YIN <br /> Address License it <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRE\ I YIN <br /> Address UCdnse# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREA I YIN <br /> Address License t1 <br /> 1111111111111111,111111111.111111111111111111.,11111111171111111111111t <br /> RESIDENTIAL Attach_(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy.Forrns;R-0-W Permit for new construction; <br /> hlnlmum ten(10)working days after subrnillal date:Required onsite,Constriction Plans,Stornvrater Plans vrl Sill Fence Installed, <br /> Sanitay Facl!1)es 31 dumpster,Site Work Permit for subdivislonstlargo projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plys a Life Safety Page;(1)set of Energy Forms.R=0-W Permit-for new construction. <br /> Minlm6n ten(10)wori�Ing days after submittal dale.Required onsite,ConslrueWn Plans,Stormwater Plans wl Silt Fence Installed, <br /> SaNtery Facilities E 1 dumpster.Site Work PermR for all new projects.All commerdal requirements must meet compliance <br /> SIGN PERMIT Attaclf(21sets Of Engineered Plans. <br /> ­'PROPERTY'SURVEY requyed for all NEW"construction. <br /> - <br /> 'Directions: <br /> Ri cut app!Ication completely, <br /> Owner S Contractor s!gn tiedc or application,notarized <br /> If over$2$00,a Notice of Commencement Is required,"(AIC upgrades over$7500) <br /> Agent(for the contractor)or P&.%vr of Attorney(for the owner)would be someone Wth notarized letter from ormier authoriz)ng same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles' Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubEc roadways-needs ROW <br />